HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions

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Resource Profile: Bundle: Imaging Report

Document Bundle for Imaging Report

Usages:

• Examples for this Profile: Bundle/bundle-report-semi-structured and Bundle/bundle-report-structured

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, dr-comp-author-org
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
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
Slices for entry	ΣC	4..*	BackboneElement	Entry in the bundle - will have a resource or information 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:CompositionEuImaging	ΣC	1..1	BackboneElement	The Composition containing the rendering of the imaging report 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	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging	ΣC	1..1	BackboneElement	The Diagnostic Report containing the imaging report 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	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	1..1	BackboneElement	The patient the report is about 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	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	1..*	BackboneElement	The imaging study/studies associated with this report 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	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure	ΣC	0..*	BackboneElement	Requested procedure to be performed 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	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure	ΣC	0..*	BackboneElement	Procedures performed as part of the imaging study 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	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings	ΣC	0..*	BackboneElement	Findings referred to from report 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	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images	ΣC	0..*	BackboneElement	Key Images referred to from report 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	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner	ΣC	0..*	BackboneElement	Practitioner involved in the report 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	Σ	1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization	ΣC	0..*	BackboneElement	Organization involved in the report 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	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary	ΣC	0..*	BackboneElement	The original rendered report as a binary attachment 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	Σ	1..1	Binary	A resource in the bundle
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:CompositionEuImaging.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​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:ImagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:findings.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​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:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:binary.​request.method	Base	required	HTTPVerb	📍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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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)
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle	Contains a collection of resources Constraints: dr-comp-author-org
identifier		1..1	Identifier	Persistent identifier for the bundle
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		4..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
link		0..0		Links related to this entry
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		Search related information
request		0..0		Additional execution information (transaction/batch/history)
response		0..0		Results of execution (transaction/batch/history)
entry:CompositionEuImaging		1..1	BackboneElement	The Composition containing the rendering of the imaging report
resource		1..1	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging		1..1	BackboneElement	The Diagnostic Report containing the imaging report
resource		1..1	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient		1..1	BackboneElement	The patient the report is about
resource		1..1	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy		1..*	BackboneElement	The imaging study/studies associated with this report
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure		0..*	BackboneElement	Requested procedure to be performed
resource		1..1	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure		0..*	BackboneElement	Procedures performed as part of the imaging study
resource		1..1	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings		0..*	BackboneElement	Findings referred to from report
resource		1..1	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images		0..*	BackboneElement	Key Images referred to from report
resource		1..1	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner		0..*	BackboneElement	Practitioner involved in the report
resource		1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization		0..*	BackboneElement	Organization involved in the report
resource		1..1	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary		0..*	BackboneElement	The original rendered report as a binary attachment
resource		1..1	Binary	A resource in the bundle
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, dr-comp-author-org
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
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	0..1	instant	When the bundle was assembled
Slices for entry	ΣC	4..*	BackboneElement	Entry in the bundle - will have a resource or information 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:CompositionEuImaging	ΣC	1..1	BackboneElement	The Composition containing the rendering of the imaging report 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	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging	ΣC	1..1	BackboneElement	The Diagnostic Report containing the imaging report 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	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	1..1	BackboneElement	The patient the report is about 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	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	1..*	BackboneElement	The imaging study/studies associated with this report 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	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure	ΣC	0..*	BackboneElement	Requested procedure to be performed 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	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure	ΣC	0..*	BackboneElement	Procedures performed as part of the imaging study 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	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings	ΣC	0..*	BackboneElement	Findings referred to from report 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	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images	ΣC	0..*	BackboneElement	Key Images referred to from report 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	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner	ΣC	0..*	BackboneElement	Practitioner involved in the report 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	Σ	1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization	ΣC	0..*	BackboneElement	Organization involved in the report 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	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary	ΣC	0..*	BackboneElement	The original rendered report as a binary attachment 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	Σ	1..1	Binary	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature
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:CompositionEuImaging.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:CompositionEuImaging.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​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:ImagingStudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:findings.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:findings.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​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: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:binary.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:binary.​request.method	Base	required	HTTPVerb	📍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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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)
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())
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()

Summary

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

Structures

This structure refers to these other structures:

• Composition: Imaging Report (http://hl7.eu/fhir/imaging-r4/StructureDefinition/CompositionEuImaging)
• DiagnosticReport: Imaging Report (http://hl7.eu/fhir/imaging-r4/StructureDefinition/DiagnosticReportEuImaging)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImagingStudyEuImaging)
• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ServiceRequestOrderEuImaging)
• Procedure: Imaging Acquisition (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ProcedureEuImaging)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ObservationFindingEuImaging)
• Key images represented as an ImagingSelection for R4 (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImagingSelectionKeyImageEuImaging)
• Practitioner (EU base) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, dr-comp-author-org
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
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
Slices for entry	ΣC	4..*	BackboneElement	Entry in the bundle - will have a resource or information 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:CompositionEuImaging	ΣC	1..1	BackboneElement	The Composition containing the rendering of the imaging report 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	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging	ΣC	1..1	BackboneElement	The Diagnostic Report containing the imaging report 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	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	1..1	BackboneElement	The patient the report is about 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	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	1..*	BackboneElement	The imaging study/studies associated with this report 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	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure	ΣC	0..*	BackboneElement	Requested procedure to be performed 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	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure	ΣC	0..*	BackboneElement	Procedures performed as part of the imaging study 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	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings	ΣC	0..*	BackboneElement	Findings referred to from report 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	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images	ΣC	0..*	BackboneElement	Key Images referred to from report 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	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner	ΣC	0..*	BackboneElement	Practitioner involved in the report 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	Σ	1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization	ΣC	0..*	BackboneElement	Organization involved in the report 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	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary	ΣC	0..*	BackboneElement	The original rendered report as a binary attachment 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	Σ	1..1	Binary	A resource in the bundle
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:CompositionEuImaging.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​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:ImagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:findings.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​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:organization.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:binary.​request.method	Base	required	HTTPVerb	📍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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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)
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle	Contains a collection of resources Constraints: dr-comp-author-org
identifier		1..1	Identifier	Persistent identifier for the bundle
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		4..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource, profile:resource
entry:All Slices				Content/Rules for all slices
link		0..0		Links related to this entry
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		Search related information
request		0..0		Additional execution information (transaction/batch/history)
response		0..0		Results of execution (transaction/batch/history)
entry:CompositionEuImaging		1..1	BackboneElement	The Composition containing the rendering of the imaging report
resource		1..1	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging		1..1	BackboneElement	The Diagnostic Report containing the imaging report
resource		1..1	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient		1..1	BackboneElement	The patient the report is about
resource		1..1	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy		1..*	BackboneElement	The imaging study/studies associated with this report
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure		0..*	BackboneElement	Requested procedure to be performed
resource		1..1	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure		0..*	BackboneElement	Procedures performed as part of the imaging study
resource		1..1	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings		0..*	BackboneElement	Findings referred to from report
resource		1..1	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images		0..*	BackboneElement	Key Images referred to from report
resource		1..1	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner		0..*	BackboneElement	Practitioner involved in the report
resource		1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization		0..*	BackboneElement	Organization involved in the report
resource		1..1	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary		0..*	BackboneElement	The original rendered report as a binary attachment
resource		1..1	Binary	A resource in the bundle
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, dr-comp-author-org
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle
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	0..1	instant	When the bundle was assembled
Slices for entry	ΣC	4..*	BackboneElement	Entry in the bundle - will have a resource or information 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:CompositionEuImaging	ΣC	1..1	BackboneElement	The Composition containing the rendering of the imaging report 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	CompositionEuImaging	Imaging Report composition
entry:DiagnosticReportEuImaging	ΣC	1..1	BackboneElement	The Diagnostic Report containing the imaging report 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	DiagnosticReportEuImaging	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	1..1	BackboneElement	The patient the report is about 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	PatientEuCore(2.0.0-recon)	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	1..*	BackboneElement	The imaging study/studies associated with this report 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	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
entry:requested-procedure	ΣC	0..*	BackboneElement	Requested procedure to be performed 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	ServiceRequestOrderEuImaging	A request for a service to be performed
entry:performed-procedure	ΣC	0..*	BackboneElement	Procedures performed as part of the imaging study 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	ProcedureEuImaging	An action that is being or was performed on a patient
entry:findings	ΣC	0..*	BackboneElement	Findings referred to from report 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	ObservationFindingEuImaging	Measurements and simple assertions
entry:key-images	ΣC	0..*	BackboneElement	Key Images referred to from report 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	ImagingSelectionKeyImageEuImaging	Resource for non-supported content
entry:practitioner	ΣC	0..*	BackboneElement	Practitioner involved in the report 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	Σ	1..1		A person with a formal responsibility in the provisioning of healthcare or related services
resource			Practitioner(PractitionerEu)
resource			PractitionerRole(PractitionerRoleEuCore)
entry:organization	ΣC	0..*	BackboneElement	Organization involved in the report 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	OrganizationEuCore(2.0.0-recon)	A grouping of people or organizations with a common purpose
entry:binary	ΣC	0..*	BackboneElement	The original rendered report as a binary attachment 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	Σ	1..1	Binary	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature
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:CompositionEuImaging.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:CompositionEuImaging.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:DiagnosticReportEuImaging.​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:ImagingStudy.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:requested-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:performed-procedure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:findings.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:findings.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:key-images.​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: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:binary.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:binary.​request.method	Base	required	HTTPVerb	📍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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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:CompositionEuImaging, Bundle.entry:DiagnosticReportEuImaging, Bundle.entry:Patient, Bundle.entry:ImagingStudy, Bundle.entry:requested-procedure, Bundle.entry:performed-procedure, Bundle.entry:findings, Bundle.entry:key-images, Bundle.entry:practitioner, Bundle.entry:organization, Bundle.entry:binary	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)
dr-comp-author-org	error	Bundle	DiagnosticReport and Composition SHALL have the same author Organization	Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization) = Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization) or (Bundle.entry.resource.ofType(DiagnosticReport).performer.resolve().ofType(Organization).empty() and Bundle.entry.resource.ofType(Composition).author.resolve().ofType(Organization).empty())
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()

Summary

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

Structures

This structure refers to these other structures:

• Composition: Imaging Report (http://hl7.eu/fhir/imaging-r4/StructureDefinition/CompositionEuImaging)
• DiagnosticReport: Imaging Report (http://hl7.eu/fhir/imaging-r4/StructureDefinition/DiagnosticReportEuImaging)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImagingStudyEuImaging)
• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ServiceRequestOrderEuImaging)
• Procedure: Imaging Acquisition (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ProcedureEuImaging)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ObservationFindingEuImaging)
• Key images represented as an ImagingSelection for R4 (http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImagingSelectionKeyImageEuImaging)
• Practitioner (EU base) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• Organization (EU core) (http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core)

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron