HL7 Europe Laboratory Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.2.0-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/laboratory/ and changes regularly. See the Directory of published versions

• Content
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Resource Profile: Bundle: Laboratory Report

Clinical document used to represent a Laboratory Report for the scope of the HL7 Europe project.

Usages:

• Examples for this Profile: Bundle/BundleHepatitisPanel, Bundle/BundleLabResultMicroCultureSusc, Bundle/BundleLabResultReportPOC, Bundle/IT-CDA2FHIR-17e2cad1-c3e3-4901-adb1-c35a0b82b883 and Bundle/SimpleChemistryResultReport

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	Laboratory Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Business identifier for this Laboratory Report
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Organization	A resource in the bundle
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Encounter	A resource in the bundle
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Location	A resource in the bundle
entry:provenance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Provenance	A resource in the bundle
entry:coverage	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Coverage	A resource in the bundle
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Device	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature of this report
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​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:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​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:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​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:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	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-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).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()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Report bundle Constraints: one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
identifier		1..1	Identifier	Business identifier for this Laboratory Report
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
timestamp		1..1	instant	When the bundle was assembled
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Organization	A resource in the bundle
entry:practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Encounter	A resource in the bundle
entry:location		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Location	A resource in the bundle
entry:provenance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Provenance	A resource in the bundle
entry:coverage		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Coverage	A resource in the bundle
entry:device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Device	A resource in the bundle
signature		0..1	Signature	Digital Signature of this report
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
dr-comp-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).exists()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Business identifier for this Laboratory Report
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Organization	A resource in the bundle
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Encounter	A resource in the bundle
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Location	A resource in the bundle
entry:provenance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Provenance	A resource in the bundle
entry:coverage	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Coverage	A resource in the bundle
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Device	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature of this report
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​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:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry: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:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​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:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	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-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).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()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Summary

Mandatory: 5 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab)
• DiagnosticReport: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
• Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)
• Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)
• ServiceRequest: Laboratory Order (http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• BodyStructure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/bodyStructure-eu-core)

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
identifier	Σ	1..1	Identifier	Business identifier for this Laboratory Report
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Organization	A resource in the bundle
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Encounter	A resource in the bundle
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Location	A resource in the bundle
entry:provenance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Provenance	A resource in the bundle
entry:coverage	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Coverage	A resource in the bundle
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Device	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature of this report
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​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:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​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:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​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:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	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-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).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()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Report bundle Constraints: one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
identifier		1..1	Identifier	Business identifier for this Laboratory Report
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: document
timestamp		1..1	instant	When the bundle was assembled
total		0..0		If search, the total number of matches
link		0..0		Links related to this Bundle
Slices for entry		2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type: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:composition		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport		1..1	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Organization	A resource in the bundle
entry:practitioner		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Encounter	A resource in the bundle
entry:location		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Location	A resource in the bundle
entry:provenance		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Provenance	A resource in the bundle
entry:coverage		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Coverage	A resource in the bundle
entry:device		0..*	BackboneElement	Entry in the bundle - will have a resource or information
resource		1..1	Device	A resource in the bundle
signature		0..1	Signature	Digital Signature of this report
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
dr-comp-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).exists()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Bundle	C	0..*	Bundle	Laboratory Report bundle Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, one-comp, one-dr, dr-comp-identifier, dr-comp-type, dr-comp-category, dr-comp-subj, dr-comp-enc
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
identifier	Σ	1..1	Identifier	Business identifier for this Laboratory Report
type	Σ	1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used. Required Pattern: document
timestamp	Σ	1..1	instant	When the bundle was assembled
Slices for entry	ΣC	2..*	BackboneElement	Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Resource	A resource in the bundle
entry:composition	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	CompositionLabReportEu	Laboratory Report composition
entry:diagnosticReport	ΣC	1..1	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	DiagnosticReportLabEu	Laboratory Report DiagnosticReport
entry:patient	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	Patient, PatientEuCore, PatientAnimalEu	Information about an individual or animal receiving health care services
entry:observation	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ObservationResultsLaboratoryEu	Laboratory result for a simple test or for a panel/study
entry:specimen	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	SpecimenEu	Laboratory Specimen
entry:serviceRequest	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	ServiceRequestLabEu	Laboratory Order
entry:organization	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Organization	A resource in the bundle
entry:practitioner	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerEuCore	A person with a formal responsibility in the provisioning of healthcare or related services
entry:practitionerRole	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PractitionerRoleEuCore	Roles/organizations the practitioner is associated with
entry:bodyStructure	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	BodyStructureEuCore	Specific and identified anatomical structure
entry:encounter	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Encounter	A resource in the bundle
entry:location	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Location	A resource in the bundle
entry:provenance	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Provenance	A resource in the bundle
entry:coverage	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Coverage	A resource in the bundle
entry:device	ΣC	0..*	BackboneElement	Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	1..1	Device	A resource in the bundle
signature	Σ	0..1	Signature	Digital Signature of this report
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Bundle.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Bundle.type	Base	required	BundleType	📍4.0.1	FHIR Std.
Bundle.entry.search.​mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry.request.​method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:composition.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:composition.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:diagnosticReport.​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:observation.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:observation.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:specimen.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:serviceRequest.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry: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:practitioner.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitioner.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:practitionerRole.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:bodyStructure.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:encounter.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:location.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:location.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:provenance.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:coverage.​request.method	Base	required	HTTPVerb	📍4.0.1	FHIR Std.
Bundle.entry:device.​search.mode	Base	required	SearchEntryMode	📍4.0.1	FHIR Std.
Bundle.entry:device.​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:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	must be a resource unless there's a request or response	resource.exists() or request.exists() or response.exists()
bdl-7	error	Bundle	FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)	(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()
bdl-8	error	Bundle.entry, Bundle.entry:composition, Bundle.entry:diagnosticReport, Bundle.entry:patient, Bundle.entry:observation, Bundle.entry:specimen, Bundle.entry:serviceRequest, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:practitionerRole, Bundle.entry:bodyStructure, Bundle.entry:encounter, Bundle.entry:location, Bundle.entry:provenance, Bundle.entry:coverage, Bundle.entry:device	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-category	error	Bundle	At least one DiagnosticReport.category.coding and Composition.category.coding SHALL be equal	(entry.resource.ofType(Composition).category.exists() or entry.resource.ofType(DiagnosticReport).category.exists()) implies entry.resource.ofType(Composition).category.coding.intersect(entry.resource.ofType(DiagnosticReport).category.coding).exists()
dr-comp-enc	error	Bundle	DiagnosticReport and Composition SHALL have the same encounter	( (entry.resource.ofType(Composition).encounter.empty() and entry.resource.ofType(DiagnosticReport).encounter.empty() ) or entry.resource.ofType(Composition).encounter = entry.resource.ofType(DiagnosticReport).encounter )
dr-comp-identifier	error	Bundle	If one or more DiagnosticReport.identifiers are given, at least one of them SHALL be equal to the Composition.identifier	(entry.resource.ofType(Composition).identifier.exists() or entry.resource.ofType(DiagnosticReport).identifier.exists()) implies entry.resource.ofType(Composition).identifier.intersect(entry.resource.ofType(DiagnosticReport).identifier).exists()
dr-comp-subj	error	Bundle	DiagnosticReport and Composition SHALL have the same subject	( (entry.resource.ofType(Composition).subject.empty() and entry.resource.ofType(DiagnosticReport).subject.empty() ) or entry.resource.ofType(Composition).subject = entry.resource.ofType(DiagnosticReport).subject )
dr-comp-type	error	Bundle	At least one DiagnosticReport.code.coding and Composition.type.coding SHALL be equal	entry.resource.ofType(Composition).type.coding.intersect(entry.resource.ofType(DiagnosticReport).code.coding).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()
one-comp	error	Bundle	A laboratory report bundle SHALL include one and only one Composition	entry.resource.ofType(Composition).count() = 1
one-dr	error	Bundle	A laboratory report SHALL include one and only one DiagnosticReport	entry.resource.ofType(DiagnosticReport).count() = 1

Summary

Mandatory: 5 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• Composition: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab)
• DiagnosticReport: Laboratory Report (http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab)
• Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
• Patient: Animal (http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-animal-eu-lab)
• Observation Results: laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab)
• Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)
• ServiceRequest: Laboratory Order (http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab)
• Practitioner (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core)
• PractitionerRole (EU core) (http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core)
• BodyStructure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/bodyStructure-eu-core)

Slices

This structure defines the following Slices:

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

Maturity: 2