FHIR IG analytics| Package | hl7.fhir.uv.xver-r4.r3 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-profile-Specimen.json |
| FHIR Version | R3 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition profile-Specimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Specimen | 0..* | Specimen | Sample for analysis | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:condition | 0..* | CodeableConcept | R4: State of the specimen (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.condition Binding: v2 Specimen Condition (extensible): Codes describing the state of the specimen. | |
 subject | ||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:subject | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4: Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| request | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:request | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4: request additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| collection | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:duration | 0..1 | Duration | R4: How long it took to collect specimen (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.duration | |
| extension:fastingStatus | 0..1 | CodeableConcept, Duration | R4: Whether or how long patient abstained from food and/or drink (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.fastingStatus Binding: v2 Relevant Clincial Information (extensible): Codes describing the fasting status of the patient. | |
| collector | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:collector | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4: collector additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "profile-Specimen",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r3"
},
{
"url": "version",
"valueString": "0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.0/StructureDefinition/profile-Specimen",
"version": "0.1.0",
"name": "Profile_R4_Specimen_R3",
"title": "Cross-version Profile for R4.Specimen for use in FHIR STU3",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:03:29.8506514-05:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This cross-version profile allows R4 Specimen content to be represented via FHIR STU3 Specimen resources.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "Specimen",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Specimen",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Specimen",
"path": "Specimen",
"short": "Sample for analysis",
"definition": "A sample to be used for analysis.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "Role[classCode=SPEC]"
},
{
"identity": "w5",
"map": "clinical.diagnostics"
}
]
},
{
"id": "Specimen.id",
"path": "Specimen.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"id": "Specimen.meta",
"path": "Specimen.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"id": "Specimen.implicitRules",
"path": "Specimen.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"id": "Specimen.language",
"path": "Specimen.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages|3.0.2"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "extensible",
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages|3.0.2"
}
}
},
{
"id": "Specimen.text",
"path": "Specimen.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "Specimen.contained",
"path": "Specimen.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.extension",
"path": "Specimen.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Specimen.extension:condition",
"path": "Specimen.extension",
"sliceName": "condition",
"short": "R4: State of the specimen (new)",
"definition": "R4: `Specimen.condition` (new:CodeableConcept)",
"comment": "Element `Specimen.condition` has a context of Specimen based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.condition` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nSpecimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.condition|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Specimen.modifierExtension",
"path": "Specimen.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.identifier",
"path": "Specimen.identifier",
"short": "External Identifier",
"definition": "Id for specimen.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SPM-2"
},
{
"identity": "rim",
"map": ".id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"id": "Specimen.accessionIdentifier",
"path": "Specimen.accessionIdentifier",
"short": "Identifier assigned by the lab",
"definition": "The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.accessionIdentifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SPM-30 (v2.7+)"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"id": "Specimen.status",
"path": "Specimen.status",
"short": "available | unavailable | unsatisfactory | entered-in-error",
"definition": "The availability of the specimen.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenStatus"
}
],
"strength": "required",
"description": "Codes providing the status/availability of a specimen.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/specimen-status|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SPM-20"
},
{
"identity": "rim",
"map": "status"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"id": "Specimen.type",
"path": "Specimen.type",
"short": "Kind of material that forms the specimen",
"definition": "The kind of material that forms the specimen.",
"comment": "The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenType"
}
],
"strength": "example",
"description": "The type of the specimen.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0487|2.8.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SPM-4 and possibly SPM-5"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "what"
}
]
},
{
"id": "Specimen.subject",
"path": "Specimen.subject",
"short": "Where the specimen came from. This may be from the patient(s) or from the environment or a device",
"definition": "Where the specimen came from. This may be from the patient(s) or from the environment or a device.",
"requirements": "Must know the subject context.",
"min": 1,
"max": "1",
"base": {
"path": "Specimen.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Substance"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".scoper or .scoper.playsRole"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"id": "Specimen.subject.id",
"path": "Specimen.subject.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.subject.extension",
"path": "Specimen.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Specimen.subject.extension:subject",
"path": "Specimen.subject.extension",
"sliceName": "subject",
"short": "R4: Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device",
"definition": "R4: `Specimen.subject`",
"comment": "Element `Specimen.subject` is mapped to FHIR STU3 element `Specimen.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.subject` with unmapped reference targets: Location.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "Specimen.subject.reference",
"path": "Specimen.subject.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.subject.identifier",
"path": "Specimen.subject.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Specimen.subject.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Specimen.subject.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.receivedTime",
"path": "Specimen.receivedTime",
"short": "The time when specimen was received for processing",
"definition": "Time when specimen was received for processing or testing.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.receivedTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SPM-18"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"
},
{
"identity": "w5",
"map": "when.done"
}
]
},
{
"id": "Specimen.parent",
"path": "Specimen.parent",
"short": "Specimen from which this specimen originated",
"definition": "Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.",
"comment": "The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.parent",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Specimen"
}
],
"mapping": [
{
"identity": "rim",
"map": ".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"
}
]
},
{
"id": "Specimen.request",
"path": "Specimen.request",
"short": "Why the specimen was collected",
"definition": "Details concerning a test or procedure request that required a specimen to be collected.",
"comment": "The request may be explicit or implied such with a ProcedureRequest that requires a blood draw.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.request",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
}
],
"mapping": [
{
"identity": "v2",
"map": "ORC? OBR-2/3?"
},
{
"identity": "rim",
"map": "outboundRelationship[typeCode=FLFS].target"
},
{
"identity": "w5",
"map": "why"
}
]
},
{
"id": "Specimen.request.id",
"path": "Specimen.request.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.request.extension",
"path": "Specimen.request.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Specimen.request.extension:request",
"path": "Specimen.request.extension",
"sliceName": "request",
"short": "R4: request additional types",
"definition": "R4: `Specimen.request` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `Specimen.request` is mapped to FHIR STU3 element `Specimen.request` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.request` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.request` with unmapped reference targets: ServiceRequest.\nThe request may be explicit or implied such with a ServiceRequest that requires a blood draw.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "Specimen.request.reference",
"path": "Specimen.request.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.request.identifier",
"path": "Specimen.request.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Specimen.request.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Specimen.request.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.collection",
"path": "Specimen.collection",
"short": "Collection details",
"definition": "Details concerning the specimen collection.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "v2",
"map": "SPM-14"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"
}
]
},
{
"id": "Specimen.collection.id",
"path": "Specimen.collection.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.collection.extension",
"path": "Specimen.collection.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Specimen.collection.extension:duration",
"path": "Specimen.collection.extension",
"sliceName": "duration",
"short": "R4: How long it took to collect specimen (new)",
"definition": "R4: `Specimen.collection.duration` (new:Duration)",
"comment": "Element `Specimen.collection.duration` has a context of Specimen.collection based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.collection.duration` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.duration|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Specimen.collection.extension:fastingStatus",
"path": "Specimen.collection.extension",
"sliceName": "fastingStatus",
"short": "R4: Whether or how long patient abstained from food and/or drink (new)",
"definition": "R4: `Specimen.collection.fastingStatus[x]` (new:CodeableConcept, Duration)",
"comment": "Element `Specimen.collection.fastingStatus[x]` has a context of Specimen.collection based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.collection.fastingStatus[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nRepresenting fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation ` such as `Observation.component code` = LOINC 49541-6 (Fasting status - Reported).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.fastingStatus|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "Specimen.collection.modifierExtension",
"path": "Specimen.collection.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.collection.collector",
"path": "Specimen.collection.collector",
"short": "Who collected the specimen",
"definition": "Person who collected the specimen.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection.collector",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "PRT"
},
{
"identity": "rim",
"map": ".participation[typeCode=PFM].role"
},
{
"identity": "w5",
"map": "who.actor"
}
]
},
{
"id": "Specimen.collection.collector.id",
"path": "Specimen.collection.collector.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.collection.collector.extension",
"path": "Specimen.collection.collector.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Specimen.collection.collector.extension:collector",
"path": "Specimen.collection.collector.extension",
"sliceName": "collector",
"short": "R4: collector additional types",
"definition": "R4: `Specimen.collection.collector` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `Specimen.collection.collector` is mapped to FHIR STU3 element `Specimen.collection.collector` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.collection.collector` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.collection.collector` with unmapped reference targets: PractitionerRole.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "Specimen.collection.collector.reference",
"path": "Specimen.collection.collector.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.collection.collector.identifier",
"path": "Specimen.collection.collector.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "Specimen.collection.collector.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Specimen.collection.collector.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.collection.collected[x]",
"path": "Specimen.collection.collected[x]",
"short": "Collection time",
"definition": "Time when specimen was collected from subject - the physiologically relevant time.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection.collected[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SPM-17"
},
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "w5",
"map": "when.init"
}
]
},
{
"id": "Specimen.collection.quantity",
"path": "Specimen.collection.quantity",
"short": "The quantity of specimen collected",
"definition": "The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection.quantity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mapping": [
{
"identity": "v2",
"map": "SPM-12"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"
}
]
},
{
"id": "Specimen.collection.method",
"path": "Specimen.collection.method",
"short": "Technique used to perform collection",
"definition": "A coded value specifying the technique that is used to perform the procedure.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection.method",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenCollectionMethod"
}
],
"strength": "example",
"description": "The technique that is used to perform the procedure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/specimen-collection-method|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SPM-7"
},
{
"identity": "rim",
"map": ".methodCode"
}
]
},
{
"id": "Specimen.collection.bodySite",
"path": "Specimen.collection.bodySite",
"short": "Anatomical collection site",
"definition": "Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens.",
"comment": "If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html).",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.collection.bodySite",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
}
],
"strength": "example",
"description": "Codes describing anatomical locations. May include laterality.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/body-site|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SPM-8 and SPM-9"
},
{
"identity": "rim",
"map": ".targetSiteCode"
}
]
},
{
"id": "Specimen.processing",
"path": "Specimen.processing",
"short": "Processing and processing step details",
"definition": "Details concerning processing and processing steps for the specimen.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.processing",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"
}
]
},
{
"id": "Specimen.processing.id",
"path": "Specimen.processing.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.processing.extension",
"path": "Specimen.processing.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.processing.modifierExtension",
"path": "Specimen.processing.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.processing.description",
"path": "Specimen.processing.description",
"short": "Textual description of procedure",
"definition": "Textual description of procedure.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.processing.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": ".text"
}
]
},
{
"id": "Specimen.processing.procedure",
"path": "Specimen.processing.procedure",
"short": "Indicates the treatment step applied to the specimen",
"definition": "A coded value specifying the procedure used to process the specimen.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.processing.procedure",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenProcessingProcedure"
}
],
"strength": "example",
"description": "Type indicating the technique used to process the specimen",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/specimen-processing-procedure|3.0.2"
}
},
"mapping": [
{
"identity": "rim",
"map": ".code"
}
]
},
{
"id": "Specimen.processing.additive",
"path": "Specimen.processing.additive",
"short": "Material used in the processing step",
"definition": "Material used in the processing step.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.processing.additive",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Substance"
}
],
"mapping": [
{
"identity": "v2",
"map": "SPM-6"
},
{
"identity": "rim",
"map": ".participation[typeCode=CSM].role[classCode=ADTV].code"
}
]
},
{
"id": "Specimen.processing.time[x]",
"path": "Specimen.processing.time[x]",
"short": "Date and time of specimen processing",
"definition": "A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.processing.time[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"mapping": [
{
"identity": "rim",
"map": ".effectiveTime"
}
]
},
{
"id": "Specimen.container",
"path": "Specimen.container",
"short": "Direct container of specimen (tube/slide, etc.)",
"definition": "The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.container",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": ".player.scopingRole[classCode=CONT].scoper"
}
]
},
{
"id": "Specimen.container.id",
"path": "Specimen.container.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.container.extension",
"path": "Specimen.container.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Specimen.container.modifierExtension",
"path": "Specimen.container.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Specimen.container.identifier",
"path": "Specimen.container.identifier",
"short": "Id for the container",
"definition": "Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.container.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "SAC-3"
},
{
"identity": "rim",
"map": ".id"
}
]
},
{
"id": "Specimen.container.description",
"path": "Specimen.container.description",
"short": "Textual description of the container",
"definition": "Textual description of the container.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.container.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": ".desc"
}
]
},
{
"id": "Specimen.container.type",
"path": "Specimen.container.type",
"short": "Kind of container directly associated with specimen",
"definition": "The type of container associated with the specimen (e.g. slide, aliquot, etc.).",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.container.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenContainerType"
}
],
"strength": "example",
"description": "Type of specimen container",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/specimen-container-type|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SPM-27"
},
{
"identity": "rim",
"map": ".code"
}
]
},
{
"id": "Specimen.container.capacity",
"path": "Specimen.container.capacity",
"short": "Container volume or size",
"definition": "The capacity (volume or other measure) the container may contain.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.container.capacity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mapping": [
{
"identity": "v2",
"map": "one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"
},
{
"identity": "rim",
"map": ".quantity"
}
]
},
{
"id": "Specimen.container.specimenQuantity",
"path": "Specimen.container.specimenQuantity",
"short": "Quantity of specimen within container",
"definition": "The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.container.specimenQuantity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
}
],
"mapping": [
{
"identity": "v2",
"map": "SAC-23 (value) SAC-24 (units"
},
{
"identity": "rim",
"map": ".playedRole[classCode=CONT].quantity"
}
]
},
{
"id": "Specimen.container.additive[x]",
"path": "Specimen.container.additive[x]",
"short": "Additive associated with container",
"definition": "Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
"min": 0,
"max": "1",
"base": {
"path": "Specimen.container.additive[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Substance"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SpecimenContainerAdditive"
}
],
"strength": "example",
"description": "Substance added to specimen container",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v2-0371|2.8.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "SAC-27"
},
{
"identity": "rim",
"map": ".scopesRole[classCode=ADTV].player"
}
]
},
{
"id": "Specimen.note",
"path": "Specimen.note",
"short": "Comments",
"definition": "To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).",
"min": 0,
"max": "*",
"base": {
"path": "Specimen.note",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
],
"mapping": [
{
"identity": "v2",
"map": "OBX"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Specimen",
"path": "Specimen"
},
{
"id": "Specimen.extension",
"path": "Specimen.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "Specimen.extension:condition",
"path": "Specimen.extension",
"sliceName": "condition",
"short": "R4: State of the specimen (new)",
"definition": "R4: `Specimen.condition` (new:CodeableConcept)",
"comment": "Element `Specimen.condition` has a context of Specimen based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.condition` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nSpecimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.condition|0.1.0"
}
]
},
{
"id": "Specimen.subject.extension",
"path": "Specimen.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "Specimen.subject.extension:subject",
"path": "Specimen.subject.extension",
"sliceName": "subject",
"short": "R4: Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device",
"definition": "R4: `Specimen.subject`",
"comment": "Element `Specimen.subject` is mapped to FHIR STU3 element `Specimen.subject` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.subject` with unmapped reference targets: Location.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "Specimen.request.extension",
"path": "Specimen.request.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "Specimen.request.extension:request",
"path": "Specimen.request.extension",
"sliceName": "request",
"short": "R4: request additional types",
"definition": "R4: `Specimen.request` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `Specimen.request` is mapped to FHIR STU3 element `Specimen.request` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.request` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.request` with unmapped reference targets: ServiceRequest.\nThe request may be explicit or implied such with a ServiceRequest that requires a blood draw.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "Specimen.collection.extension",
"path": "Specimen.collection.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "Specimen.collection.extension:duration",
"path": "Specimen.collection.extension",
"sliceName": "duration",
"short": "R4: How long it took to collect specimen (new)",
"definition": "R4: `Specimen.collection.duration` (new:Duration)",
"comment": "Element `Specimen.collection.duration` has a context of Specimen.collection based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.collection.duration` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.duration|0.1.0"
}
]
},
{
"id": "Specimen.collection.extension:fastingStatus",
"path": "Specimen.collection.extension",
"sliceName": "fastingStatus",
"short": "R4: Whether or how long patient abstained from food and/or drink (new)",
"definition": "R4: `Specimen.collection.fastingStatus[x]` (new:CodeableConcept, Duration)",
"comment": "Element `Specimen.collection.fastingStatus[x]` has a context of Specimen.collection based on following the parent source element upwards and mapping to `Specimen`.\nElement `Specimen.collection.fastingStatus[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nRepresenting fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation ` such as `Observation.component code` = LOINC 49541-6 (Fasting status - Reported).",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Specimen.collection.fastingStatus|0.1.0"
}
]
},
{
"id": "Specimen.collection.collector.extension",
"path": "Specimen.collection.collector.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "Specimen.collection.collector.extension:collector",
"path": "Specimen.collection.collector.extension",
"sliceName": "collector",
"short": "R4: collector additional types",
"definition": "R4: `Specimen.collection.collector` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `Specimen.collection.collector` is mapped to FHIR STU3 element `Specimen.collection.collector` as `SourceIsBroaderThanTarget`.\nThe mappings for `Specimen.collection.collector` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `Specimen.collection.collector` with unmapped reference targets: PractitionerRole.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
}
]
}
}