{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/orders/index.cfm"}]}],"date":"2022-05-28T12:47:40+10:00","derivation":"specialization","description":"A kind of specimen with associated set of requirements.","differential":{"element":[{"definition":"A kind of specimen with associated set of requirements.","id":"SpecimenDefinition","isModifier":false,"mapping":[{"identity":"v2","map":"OM4"},{"identity":"rim","map":"Role[classCode=SPEC]"},{"identity":"w5","map":"clinical.diagnostics"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition","short":"Kind of specimen"},{"definition":"A business identifier associated with the kind of specimen.","id":"SpecimenDefinition.identifier","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.identifier","short":"Business identifier of a kind of specimen","type":[{"code":"Identifier"}]},{"binding":{"description":"The type of the specimen to be collected.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"CollectedSpecimenType"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v2-0487"},"definition":"The kind of material to be collected.","id":"SpecimenDefinition.typeCollected","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"OM4-6"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeCollected","short":"Kind of material to collect","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"SCT descendants of 703763000 |Precondition value (qualifier value)|","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PreparePatient"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/prepare-patient-prior-specimen-collection"},"definition":"Preparation of the patient for specimen collection.","id":"SpecimenDefinition.patientPreparation","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"OM1-37"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.patientPreparation","short":"Patient preparation for collection","type":[{"code":"CodeableConcept"}]},{"definition":"Time aspect of specimen collection (duration or offset).","example":[{"label":"General","valueString":"24 hour, 20' post charge"}],"id":"SpecimenDefinition.timeAspect","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"OM1-43, OM1-44"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.timeAspect","short":"Time aspect for 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container.","id":"SpecimenDefinition.typeTested.container","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container","short":"The specimen's container","type":[{"code":"BackboneElement"}]},{"binding":{"description":"SCT 32039001 |Glass|, 61088005 |Plastic|, 425620007 |Metal|","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContainerMaterial"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/container-material"},"definition":"The type of material of the container.","id":"SpecimenDefinition.typeTested.container.material","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.material","short":"Container material","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"SCT descendants of 706041008 |Device for body fluid and tissue collection/transfer/processing (physical object)|","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContainerType"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/specimen-container-type"},"definition":"The type of container used to contain this kind of specimen.","id":"SpecimenDefinition.typeTested.container.type","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.type","short":"Kind of container associated with the kind of specimen","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Color of the container cap.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContainerCap"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/container-cap"},"definition":"Color of container 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OM4-5"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.capacity","short":"Container capacity","type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]}]},{"definition":"The minimum volume to be conditioned in the container.","id":"SpecimenDefinition.typeTested.container.minimumVolume[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-11"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.minimumVolume[x]","short":"Minimum volume","type":[{"code":"Quantity","profile":["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]},{"code":"string"}]},{"definition":"Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.","id":"SpecimenDefinition.typeTested.container.additive","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-7"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.additive","short":"Additive associated with container","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Substance added to specimen container.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContainerAdditive"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v2-0371"},"definition":"Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.","id":"SpecimenDefinition.typeTested.container.additive.additive[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-7"}],"max":"1","min":1,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.additive.additive[x]","short":"Additive associated with container","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance"]}]},{"definition":"Special processing that should be applied to the container for this kind of specimen.","id":"SpecimenDefinition.typeTested.container.preparation","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-8"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.preparation","short":"Specimen container preparation","type":[{"code":"string"}]},{"definition":"Requirements for delivery and special handling of this kind of conditioned specimen.","id":"SpecimenDefinition.typeTested.requirement","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-12"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.requirement","short":"Specimen requirements","type":[{"code":"string"}]},{"definition":"The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing.","id":"SpecimenDefinition.typeTested.retentionTime","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-14"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.retentionTime","short":"Specimen retention time","type":[{"code":"Duration"}]},{"binding":{"description":"Criterion for rejection of the specimen by laboratory.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RejectionCriterion"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/rejection-criteria"},"definition":"Criterion for rejection of the specimen in its container by the laboratory.","id":"SpecimenDefinition.typeTested.rejectionCriterion","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM1-39"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.rejectionCriterion","short":"Rejection criterion","type":[{"code":"CodeableConcept"}]},{"definition":"Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process.","id":"SpecimenDefinition.typeTested.handling","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling","short":"Specimen handling before testing","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Set of handling instructions prior testing of the specimen.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HandlingConditionSet"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/handling-condition"},"definition":"It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element.","id":"SpecimenDefinition.typeTested.handling.temperatureQualifier","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-15"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.temperatureQualifier","short":"Temperature qualifier","type":[{"code":"CodeableConcept"}]},{"definition":"The temperature interval for this set of handling instructions.","id":"SpecimenDefinition.typeTested.handling.temperatureRange","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.temperatureRange","short":"Temperature range","type":[{"code":"Range"}]},{"definition":"The maximum time interval of preservation of the specimen with these conditions.","id":"SpecimenDefinition.typeTested.handling.maxDuration","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.maxDuration","short":"Maximum preservation time","type":[{"code":"Duration"}]},{"definition":"Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'.","example":[{"label":"General","valueString":"freeze within 4 hours"}],"id":"SpecimenDefinition.typeTested.handling.instruction","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.instruction","short":"Preservation instruction","type":[{"code":"string"}]}]},"experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-category","valueString":"Specialized.Definitional Artifacts"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"anonymous"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"oo"}],"fhirVersion":"4.3.0","id":"SpecimenDefinition","kind":"resource","mapping":[{"identity":"v2","name":"HL7 v2 Mapping","uri":"http://hl7.org/v2"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"},{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"}],"meta":{"lastUpdated":"2022-05-28T12:47:40.239+10:00"},"name":"SpecimenDefinition","publisher":"Health Level Seven International (Orders and Observations)","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"SpecimenDefinition"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource","xpath":"not(parent::f:contained and f:contained)"},{"expression":"contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource","xpath":"not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:reference/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource","xpath":"not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource","xpath":"not(exists(f:contained/*/f:meta/f:security))"},{"expression":"text.`div`.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource","xpath":"exists(f:text/h:div)"}],"definition":"A kind of specimen with associated set of requirements.","id":"SpecimenDefinition","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity. Role, or Act"},{"identity":"v2","map":"OM4"},{"identity":"rim","map":"Role[classCode=SPEC]"},{"identity":"w5","map":"clinical.diagnostics"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition","short":"Kind of specimen"},{"base":{"max":"1","min":0,"path":"Resource.id"},"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.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"SpecimenDefinition.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"SpecimenDefinition.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","id":"SpecimenDefinition.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"description":"IETF language tag","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet","valueCanonical":"http://hl7.org/fhir/ValueSet/all-languages"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"preferred","valueSet":"http://hl7.org/fhir/ValueSet/languages"},"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).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"The base language in which the resource is written.","id":"SpecimenDefinition.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"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 information is added later.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"A human-readable narrative that contains a summary of the resource and can 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.","id":"SpecimenDefinition.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","constraint":[{"expression":"($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)","human":"Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems","key":"dom-r4b","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/SpecimenDefinition","xpath":"not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:PackagedProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedAuthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citation|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDefinition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingredient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic)"}],"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.","id":"SpecimenDefinition.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"SpecimenDefinition.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])"}],"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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"SpecimenDefinition.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.identifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"A business identifier associated with the kind of specimen.","id":"SpecimenDefinition.identifier","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.identifier","short":"Business identifier of a kind of specimen","type":[{"code":"Identifier"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeCollected"},"binding":{"description":"The type of the specimen to be 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The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. 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Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"SpecimenDefinition.typeTested.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. 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Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"SpecimenDefinition.typeTested.container.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.container.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"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. 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Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"SpecimenDefinition.typeTested.container.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.container.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. 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Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"SpecimenDefinition.typeTested.container.additive.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.container.additive.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"SpecimenDefinition.typeTested.container.additive.additive[x]"},"binding":{"description":"Substance added to specimen container.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ContainerAdditive"}],"strength":"example","valueSet":"http://terminology.hl7.org/ValueSet/v2-0371"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.","id":"SpecimenDefinition.typeTested.container.additive.additive[x]","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-7"}],"max":"1","min":1,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.additive.additive[x]","short":"Additive associated with container","type":[{"code":"CodeableConcept"},{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Substance"]}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.container.preparation"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"Special processing that should be applied to the container for this kind of specimen.","id":"SpecimenDefinition.typeTested.container.preparation","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-8"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.container.preparation","short":"Specimen container preparation","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.requirement"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"Requirements for delivery and special handling of this kind of conditioned specimen.","id":"SpecimenDefinition.typeTested.requirement","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-12"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.requirement","short":"Specimen requirements","type":[{"code":"string"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.retentionTime"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing.","id":"SpecimenDefinition.typeTested.retentionTime","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-14"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.retentionTime","short":"Specimen retention time","type":[{"code":"Duration"}]},{"base":{"max":"*","min":0,"path":"SpecimenDefinition.typeTested.rejectionCriterion"},"binding":{"description":"Criterion for rejection of the specimen by laboratory.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"RejectionCriterion"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/rejection-criteria"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"Criterion for rejection of the specimen in its container by the laboratory.","id":"SpecimenDefinition.typeTested.rejectionCriterion","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM1-39"}],"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.rejectionCriterion","short":"Rejection criterion","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"SpecimenDefinition.typeTested.handling"},"constraint":[{"expression":"hasValue() or (children().count() > id.count()) or $this is Parameters","human":"All FHIR elements must have a @value or children unless an empty Parameters resource","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div|self::f:Parameters"}],"definition":"Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process.","id":"SpecimenDefinition.typeTested.handling","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling","short":"Specimen handling before testing","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"SpecimenDefinition.typeTested.handling.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"SpecimenDefinition.typeTested.handling.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"SpecimenDefinition.typeTested.handling.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.handling.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension","xpath":"exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])"}],"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"SpecimenDefinition.typeTested.handling.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"SpecimenDefinition.typeTested.handling.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.handling.temperatureQualifier"},"binding":{"description":"Set of handling instructions prior testing of the specimen.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"HandlingConditionSet"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/handling-condition"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element.","id":"SpecimenDefinition.typeTested.handling.temperatureQualifier","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"OM4-15"}],"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.temperatureQualifier","short":"Temperature qualifier","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.handling.temperatureRange"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"The temperature interval for this set of handling instructions.","id":"SpecimenDefinition.typeTested.handling.temperatureRange","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.temperatureRange","short":"Temperature range","type":[{"code":"Range"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.handling.maxDuration"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"The maximum time interval of preservation of the specimen with these conditions.","id":"SpecimenDefinition.typeTested.handling.maxDuration","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.maxDuration","short":"Maximum preservation time","type":[{"code":"Duration"}]},{"base":{"max":"1","min":0,"path":"SpecimenDefinition.typeTested.handling.instruction"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element","xpath":"@value|f:*|h:div"}],"definition":"Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'.","example":[{"label":"General","valueString":"freeze within 4 hours"}],"id":"SpecimenDefinition.typeTested.handling.instruction","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"SpecimenDefinition.typeTested.handling.instruction","short":"Preservation instruction","type":[{"code":"string"}]}]},"status":"draft","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" SpecimenDefinition TUDomainResourceKind of specimen
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" identifier Σ0..1IdentifierBusiness identifier of a kind of specimen
\".\"\".\"\".\" typeCollected Σ0..1CodeableConceptKind of material to collect
hl7VS-specimenType (Example)
\".\"\".\"\".\" patientPreparation Σ0..*CodeableConceptPatient preparation for collection
Patient preparation prior specimen collection (Example)
\".\"\".\"\".\" timeAspect Σ0..1stringTime aspect for collection
\".\"\".\"\".\" collection Σ0..*CodeableConceptSpecimen collection procedure
Specimen collection methods (Example)
\".\"\".\"\".\" typeTested 0..*BackboneElementSpecimen in container intended for testing by lab
\".\"\".\"\".\"\".\" isDerived 0..1booleanPrimary or secondary specimen
\".\"\".\"\".\"\".\" type 0..1CodeableConceptType of intended specimen
hl7VS-specimenType (Example)
\".\"\".\"\".\"\".\" preference 1..1codepreferred | alternate
SpecimenContainedPreference (Required)
\".\"\".\"\".\"\".\" container 0..1BackboneElementThe specimen's container
\".\"\".\"\".\"\".\"\".\" material 0..1CodeableConceptContainer material
Types of material for specimen containers (Example)
\".\"\".\"\".\"\".\"\".\" type 0..1CodeableConceptKind of container associated with the kind of specimen
SpecimenContainer (Example)
\".\"\".\"\".\"\".\"\".\" cap 0..1CodeableConceptColor of container cap
ContainerCap (Example)
\".\"\".\"\".\"\".\"\".\" description 0..1stringContainer description
\".\"\".\"\".\"\".\"\".\" capacity 0..1SimpleQuantityContainer capacity
\".\"\".\"\".\"\".\"\".\" minimumVolume[x] 0..1Minimum volume
\".\"\".\"\".\"\".\"\".\"\".\" minimumVolumeQuantitySimpleQuantity
\".\"\".\"\".\"\".\"\".\"\".\" minimumVolumeStringstring
\".\"\".\"\".\"\".\"\".\" additive 0..*BackboneElementAdditive associated with container
\".\"\".\"\".\"\".\"\".\"\".\" additive[x] 1..1Additive associated with container
hl7VS-additivePreservative (Example)
\".\"\".\"\".\"\".\"\".\"\".\"\".\" additiveCodeableConceptCodeableConcept
\".\"\".\"\".\"\".\"\".\"\".\"\".\" additiveReferenceReference(Substance)
\".\"\".\"\".\"\".\"\".\" preparation 0..1stringSpecimen container preparation
\".\"\".\"\".\"\".\" requirement 0..1stringSpecimen requirements
\".\"\".\"\".\"\".\" retentionTime 0..1DurationSpecimen retention time
\".\"\".\"\".\"\".\" rejectionCriterion 0..*CodeableConceptRejection criterion
RejectionCriterion (Example)
\".\"\".\"\".\"\".\" handling 0..*BackboneElementSpecimen handling before testing
\".\"\".\"\".\"\".\"\".\" temperatureQualifier 0..1CodeableConceptTemperature qualifier
HandlingConditionSet (Example)
\".\"\".\"\".\"\".\"\".\" temperatureRange 0..1RangeTemperature range
\".\"\".\"\".\"\".\"\".\" maxDuration 0..1DurationMaximum preservation time
\".\"\".\"\".\"\".\"\".\" instruction 0..1stringPreservation instruction

\"doco\" Documentation for this format
","status":"generated"},"type":"SpecimenDefinition","url":"http://hl7.org/fhir/StructureDefinition/SpecimenDefinition","version":"4.3.0"}