HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-beta built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

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

Resource Profile: Bundle: Imaging Report Minimal Metadata

Collection Bundle with minimal metadata for imaging report exchange

Usages:

• Examples for this Profile: Bundle/bundle-report-minimal-metadata-unstructured

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-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
type	ΣC	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
Slices for entry	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	1..1	Resource	A resource in the bundle
entry:DiagnosticReportEuImagingMinimalMetadata	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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	0..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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	0..1	BackboneElement	The imaging study 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	H T T P Verb	📍5.0.0	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	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	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&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	fullUrl cannot be a version specific reference	fullUrl.exists() implies 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)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle	Contains a collection of resources
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Required Pattern: collection
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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 (e.g. the absolute URL server address, URI for UUID/OID, etc.)
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:DiagnosticReportEuImagingMinimalMetadata		1..1	BackboneElement	The Diagnostic Report containing the imaging report
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient		0..1	BackboneElement	The patient the report is about
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy		0..1	BackboneElement	The imaging study associated with this report
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
Documentation for this format

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-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
identifier	ΣC	0..1	Identifier	Persistent identifier for the bundle
type	ΣC	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	ΣC	0..1	instant	When the bundle was assembled
Slices for entry	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	1..1	Resource	A resource in the bundle
entry:DiagnosticReportEuImagingMinimalMetadata	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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	0..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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	0..1	BackboneElement	The imaging study 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
signature	Σ	0..1	Signature	Digital Signature
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.search.​mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	H T T P Verb	📍5.0.0	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	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	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&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	fullUrl cannot be a version specific reference	fullUrl.exists() implies 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)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 3 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• DiagnosticReport: Imaging Report Minimal Metadata (http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata)
• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value 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-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
type	ΣC	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
Slices for entry	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	1..1	Resource	A resource in the bundle
entry:DiagnosticReportEuImagingMinimalMetadata	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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	0..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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	0..1	BackboneElement	The imaging study 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	H T T P Verb	📍5.0.0	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	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	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&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	fullUrl cannot be a version specific reference	fullUrl.exists() implies 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)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle		0..*	Bundle	Contains a collection of resources
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Required Pattern: collection
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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 (e.g. the absolute URL server address, URI for UUID/OID, etc.)
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:DiagnosticReportEuImagingMinimalMetadata		1..1	BackboneElement	The Diagnostic Report containing the imaging report
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient		0..1	BackboneElement	The patient the report is about
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy		0..1	BackboneElement	The imaging study associated with this report
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
Documentation for this format

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-7, bdl-9, bdl-10, bdl-11, bdl-12, bdl-13, bdl-14, bdl-15, bdl-16, bdl-17, bdl-18, bdl-3a, bdl-3b, bdl-3c, bdl-3d
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
identifier	ΣC	0..1	Identifier	Persistent identifier for the bundle
type	ΣC	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection | subscription-notification Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: collection
timestamp	ΣC	0..1	instant	When the bundle was assembled
Slices for entry	ΣC	1..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource	ΣC	1..1	Resource	A resource in the bundle
entry:DiagnosticReportEuImagingMinimalMetadata	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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	DiagnosticReportEuImagingMinimalMetadata	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
entry:Patient	ΣC	0..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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	PatientEuCore	Information about an individual or animal receiving health care services
entry:ImagingStudy	ΣC	0..1	BackboneElement	The imaging study 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	ΣC	1..1	uri	URI for resource (e.g. the absolute URL server address, URI for UUID/OID, etc.)
resource		1..1	ImagingStudyEuImaging	A set of images produced in single study (one or more series of references images)
signature	Σ	0..1	Signature	Digital Signature
issues	ΣC	0..1	OperationOutcome(5.0.0)	Issues with the Bundle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Bundle.type	Base	required	Bundle Type	📍5.0.0	FHIR Std.
Bundle.link.relation	Base	required	Link Relation Types	📍5.0.0	FHIR Std.
Bundle.entry.search.​mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry.request.​method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:DiagnosticReportEuImagingMinimalMetadata.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:Patient.​request.method	Base	required	H T T P Verb	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​search.mode	Base	required	Search Entry Mode	📍5.0.0	FHIR Std.
Bundle.entry:ImagingStudy.​request.method	Base	required	H T T P Verb	📍5.0.0	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	(type = 'searchset') or entry.search.empty()
bdl-5	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	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&iif(resource.meta.versionId.exists(), resource.meta.versionId, '')).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:DiagnosticReportEuImagingMinimalMetadata, Bundle.entry:Patient, Bundle.entry:ImagingStudy	fullUrl cannot be a version specific reference	fullUrl.exists() implies 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)
bdl-13	error	Bundle	A subscription-notification must have a SubscriptionStatus as the first resource	type = 'subscription-notification' implies entry.first().resource.is(SubscriptionStatus)
bdl-14	error	Bundle	entry.request.method PATCH not allowed for history	type = 'history' implies entry.request.method != 'PATCH'
bdl-15	error	Bundle	Bundle resources where type is not transaction, transaction-response, batch, or batch-response or when the request is a POST SHALL have Bundle.entry.fullUrl populated	type='transaction' or type='transaction-response' or type='batch' or type='batch-response' or entry.all(fullUrl.exists() or request.method='POST')
bdl-16	error	Bundle	Issue.severity for all issues within the OperationOutcome must be either 'information' or 'warning'.	issues.exists() implies (issues.issue.severity = 'information' or issues.issue.severity = 'warning')
bdl-17	error	Bundle	Use and meaning of issues for documents has not been validated because the content will not be rendered in the document.	type = 'document' implies issues.empty()
bdl-18	error	Bundle	Self link is required for searchsets.	type = 'searchset' implies link.where(relation = 'self' and url.exists()).exists()
bdl-3a	error	Bundle	For collections of type document, message, searchset or collection, all entries must contain resources, and not have request or response elements	type in ('document' | 'message' | 'searchset' | 'collection') implies entry.all(resource.exists() and request.empty() and response.empty())
bdl-3b	error	Bundle	For collections of type history, all entries must contain request or response elements, and resources if the method is POST, PUT or PATCH	type = 'history' implies entry.all(request.exists() and response.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3c	error	Bundle	For collections of type transaction or batch, all entries must contain request elements, and resources if the method is POST, PUT or PATCH	type in ('transaction' | 'batch') implies entry.all(request.method.exists() and ((request.method in ('POST' | 'PATCH' | 'PUT')) = resource.exists()))
bdl-3d	error	Bundle	For collections of type transaction-response or batch-response, all entries must contain response elements	type in ('transaction-response' | 'batch-response') implies entry.all(response.exists())
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Mandatory: 3 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• DiagnosticReport: Imaging Report Minimal Metadata (http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata)
• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• ImagingStudy: General (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron