This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4

Extension: Item

Orders and Observations Work Group

Maturity Level: 1

Informative

Use Context: Any

URL for this extension:

http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem

Status: draft. Extension maintained by: Health Level Seven International (Clinical Genomics)

The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested.

Context of Use: Use on Element ID DiagnosticReport

Summary

Name	Card.	Type	Description & Constraints
Item	0..*	Extension	URL = http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem Item: The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested. Use on Element ID DiagnosticReport
code	1..1	CodeableConcept	Code to indicate the item (test, panel or sequence variant) being ordered.
geneticsObservation	0..1	Reference(Observation)	Indicate the genetic variant ordered to be tested.
specimen	0..1	Reference(Specimen)	If the item is related to a specific specimen.
status	0..1	code	The status of this individual item within the order.
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..*	Extension	URL = http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem Item: The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested. Use on Element ID DiagnosticReport
Slices for extension	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code	1..1	Extension	Code to indicate the item (test, panel or sequence variant) being ordered
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"code"
value[x]	1..1	CodeableConcept	Value of extension
extension:geneticsObservation	0..1	Extension	Indicate the genetic variant ordered to be tested
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"geneticsObservation"
value[x]	1..1	Reference(Observation)	Value of extension
extension:specimen	0..1	Extension	If this item relates to specific specimens
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"specimen"
value[x]	1..1	Reference(Specimen)	Value of extension
extension:status	0..1	Extension	proposed \| draft \| planned \| requested \| received \| accepted \| in-progress \| review \| completed \| cancelled \| suspended \| rejected \| failed
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"status"
value[x]	1..1	code	Value of extension
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"
value[x]	0..0
valueBase64Binary		base64Binary
valueBoolean		boolean
valueCanonical		canonical(Any)
valueCode		code
valueDate		date
valueDateTime		dateTime
valueDecimal		decimal
valueId		id
valueInstant		instant
valueInteger		integer
valueMarkdown		markdown
valueOid		oid
valuePositiveInt		positiveInt
valueString		string
valueTime		time
valueUnsignedInt		unsignedInt
valueUri		uri
valueUrl		url
valueUuid		uuid
valueAddress		Address
valueAge		Age
valueAnnotation		Annotation
valueAttachment		Attachment
valueCodeableConcept		CodeableConcept
valueCodeableReference		CodeableReference
valueCoding		Coding
valueContactPoint		ContactPoint
valueCount		Count
valueDistance		Distance
valueDuration		Duration
valueHumanName		HumanName
valueIdentifier		Identifier
valueMoney		Money
valuePeriod		Period
valueQuantity		Quantity
valueRange		Range
valueRatio		Ratio
valueRatioRange		RatioRange
valueReference		Reference(Any)
valueSampledData		SampledData
valueSignature		Signature
valueTiming		Timing
valueContactDetail		ContactDetail
valueContributor		Contributor
valueDataRequirement		DataRequirement
valueExpression		Expression
valueParameterDefinition		ParameterDefinition
valueRelatedArtifact		RelatedArtifact
valueTriggerDefinition		TriggerDefinition
valueUsageContext		UsageContext
valueDosage		Dosage
valueMeta		Meta
Documentation for this format

XML Template

<!-- Item -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem" >
 <-- extension sliced by value:url  in the specified orderOpen-->
 <extension url="code">  1..1 Extension  <!--  1..1 Code to indicate the item (test, panel or sequence variant) being ordered -->
  <valueCodeableConcept><!--  1..1 CodeableConcept 
      Value of extension --></valueCodeableConcept>
 </extension>
 <extension url="geneticsObservation">  0..1 Extension  <!--  0..1 Indicate the genetic variant ordered to be tested -->
  <valueReference><!--  1..1 Reference(Observation) Value of extension --></valueReference>
 </extension>
 <extension url="specimen">  0..1 Extension  <!--  0..1 If this item relates to specific specimens -->
  <valueReference><!--  1..1 Reference(Specimen) Value of extension --></valueReference>
 </extension>
 <extension url="status">  0..1 Extension  <!--  0..1 proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed -->
  <valueCode value="[code]"/><!--  1..1 Value of extension -->
 </extension>
</extension>

JSON Template

{ // Item
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Code to indicate the item (test, panel or sequence variant) being ordered // C? R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "code", // R! 
        "valueCodeableConcept" : { CodeableConcept } // C? R! Value of extension
      },
      { // Indicate the genetic variant ordered to be tested // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "geneticsObservation", // R! 
        "valueReference" : { Reference(Observation) } // C? R! Value of extension
      },
      { // If this item relates to specific specimens // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "specimen", // R! 
        "valueReference" : { Reference(Specimen) } // C? R! Value of extension
      },
      { // proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "status", // R! 
        "valueCode" : "<code>" // C? R! Value of extension
      }
    ],
    "url" : "http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem", // R! 
// value[x]: Value of extension. One of these 52:
  }

Summary

Name	Card.	Type	Description & Constraints
Item	0..*	Extension	URL = http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem Item: The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested. Use on Element ID DiagnosticReport
code	1..1	CodeableConcept	Code to indicate the item (test, panel or sequence variant) being ordered.
geneticsObservation	0..1	Reference(Observation)	Indicate the genetic variant ordered to be tested.
specimen	0..1	Reference(Specimen)	If the item is related to a specific specimen.
status	0..1	code	The status of this individual item within the order.
Documentation for this format

Full Structure

Name	Card.	Type	Description & Constraints
extension	0..*	Extension	URL = http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem Item: The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested. Use on Element ID DiagnosticReport
Slices for extension	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:code	1..1	Extension	Code to indicate the item (test, panel or sequence variant) being ordered
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"code"
value[x]	1..1	CodeableConcept	Value of extension
extension:geneticsObservation	0..1	Extension	Indicate the genetic variant ordered to be tested
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"geneticsObservation"
value[x]	1..1	Reference(Observation)	Value of extension
extension:specimen	0..1	Extension	If this item relates to specific specimens
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"specimen"
value[x]	1..1	Reference(Specimen)	Value of extension
extension:status	0..1	Extension	proposed \| draft \| planned \| requested \| received \| accepted \| in-progress \| review \| completed \| cancelled \| suspended \| rejected \| failed
id	0..1	string	Unique id for inter-element referencing
Slices for extension	0..0
url	1..1	uri	"status"
value[x]	1..1	code	Value of extension
url	1..1	uri	"http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem"
value[x]	0..0
valueBase64Binary		base64Binary
valueBoolean		boolean
valueCanonical		canonical(Any)
valueCode		code
valueDate		date
valueDateTime		dateTime
valueDecimal		decimal
valueId		id
valueInstant		instant
valueInteger		integer
valueMarkdown		markdown
valueOid		oid
valuePositiveInt		positiveInt
valueString		string
valueTime		time
valueUnsignedInt		unsignedInt
valueUri		uri
valueUrl		url
valueUuid		uuid
valueAddress		Address
valueAge		Age
valueAnnotation		Annotation
valueAttachment		Attachment
valueCodeableConcept		CodeableConcept
valueCodeableReference		CodeableReference
valueCoding		Coding
valueContactPoint		ContactPoint
valueCount		Count
valueDistance		Distance
valueDuration		Duration
valueHumanName		HumanName
valueIdentifier		Identifier
valueMoney		Money
valuePeriod		Period
valueQuantity		Quantity
valueRange		Range
valueRatio		Ratio
valueRatioRange		RatioRange
valueReference		Reference(Any)
valueSampledData		SampledData
valueSignature		Signature
valueTiming		Timing
valueContactDetail		ContactDetail
valueContributor		Contributor
valueDataRequirement		DataRequirement
valueExpression		Expression
valueParameterDefinition		ParameterDefinition
valueRelatedArtifact		RelatedArtifact
valueTriggerDefinition		TriggerDefinition
valueUsageContext		UsageContext
valueDosage		Dosage
valueMeta		Meta
Documentation for this format

XML Template

<!-- Item -->

<extension xmlns="http://hl7.org/fhir"
     url="http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem" >
 <-- extension sliced by value:url  in the specified orderOpen-->
 <extension url="code">  1..1 Extension  <!--  1..1 Code to indicate the item (test, panel or sequence variant) being ordered -->
  <valueCodeableConcept><!--  1..1 CodeableConcept 
      Value of extension --></valueCodeableConcept>
 </extension>
 <extension url="geneticsObservation">  0..1 Extension  <!--  0..1 Indicate the genetic variant ordered to be tested -->
  <valueReference><!--  1..1 Reference(Observation) Value of extension --></valueReference>
 </extension>
 <extension url="specimen">  0..1 Extension  <!--  0..1 If this item relates to specific specimens -->
  <valueReference><!--  1..1 Reference(Specimen) Value of extension --></valueReference>
 </extension>
 <extension url="status">  0..1 Extension  <!--  0..1 proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed -->
  <valueCode value="[code]"/><!--  1..1 Value of extension -->
 </extension>
</extension>

JSON Template

{ // Item
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // Code to indicate the item (test, panel or sequence variant) being ordered // C? R! 
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "code", // R! 
        "valueCodeableConcept" : { CodeableConcept } // C? R! Value of extension
      },
      { // Indicate the genetic variant ordered to be tested // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "geneticsObservation", // R! 
        "valueReference" : { Reference(Observation) } // C? R! Value of extension
      },
      { // If this item relates to specific specimens // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "specimen", // R! 
        "valueReference" : { Reference(Specimen) } // C? R! Value of extension
      },
      { // proposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed // C?
        // from Element: extension
        "extension" : [ //  sliced by value:url  in the specified order, Open ]
        "url" : "status", // R! 
        "valueCode" : "<code>" // C? R! Value of extension
      }
    ],
    "url" : "http://hl7.org/fhir/StructureDefinition/servicerequest-geneticsItem", // R! 
// value[x]: Value of extension. One of these 52:
  }

Constraints

ele-1: All FHIR elements must have a @value or children unless an empty Parameters resource (xpath: @value|f:*|h:div|self::f:Parameters)
ext-1: Must have either extensions or value[x], not both (xpath: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')]))
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.extension: All FHIR elements must have a @value or children (xpath on Extension.extension.extension: @value|f:*|h:div)
ext-1: On Extension.extension.extension: Must have either extensions or value[x], not both (xpath on Extension.extension.extension: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")]))
ele-1: On Extension.extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.extension.value[x]: @value|f:*|h:div)
ele-1: On Extension.value[x]: All FHIR elements must have a @value or children (xpath on Extension.value[x]: @value|f:*|h:div)