FHIR Extensions Pack
5.3.0-ballot - (September 2025 Ballot) International flag

This page is part of the FHIR Core Extensions Registry (v5.3.0-ballot: Release 5.3) based on FHIR (HL7® FHIR® Standard) v5.0.0. This version is a pre-release. The current official version is 5.2.0. For a full list of available versions, see the Directory of published versions

Extension: ServiceRequest Specimen Suggestion

Official URL: http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion Version: 5.3.0-ballot
Standards status: Trial-use Maturity Level: 1 Responsible: HL7 International / Orders and Observations Computable Name: SRSpecimenSuggestion

This attribute enables the requester of this service to indicate they would like a certain specimen to be used, but if that is not available/appropriate to be used whether to have another specimen drawn, or that this test is not performed. When a specimen is referenced it is expected to be used. If it cannot be used, the decision to collect another specimen or not perform the test must be based on established policies or determined in some other agreed to way with the requester.

Context of Use

This extension may be used on the following element(s)

Usage info

Usages:

  • This Extension is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 5.2.0:

  • New Content
  • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Complex Extension: This attribute enables the requester of this service to indicate they would like a certain specimen to be used, but if that is not available/appropriate to be used whether to have another specimen drawn, or that this test is not performed. When a specimen is referenced it is expected to be used. If it cannot be used, the decision to collect another specimen or not perform the test must be based on established policies or determined in some other agreed to way with the requester.

    • reference: CodeableReference: An Extension
    • fallBackAction: code: An Extension

    Maturity: 1

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Suggested specimen to be used
    ... Slices for extension Content/Rules for all slices
    .... extension:reference 1..1 Extension Extension
    ..... extension 0..0
    ..... url 1..1 uri "reference"
    ..... value[x] 0..1 CodeableReference(Specimen | ServiceRequest) Value of extension
    .... extension:fallBackAction 0..1 Extension Extension
    ..... extension 0..0
    ..... url 1..1 uri "fallBackAction"
    ..... value[x] 0..1 code Value of extension
    Binding: FallBackAction (extensible)
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"
    ... value[x] 0..0

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Suggested specimen to be used
    ... id 0..1 id Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:reference 1..1 Extension Extension
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "reference"
    ..... value[x] 0..1 CodeableReference(Specimen | ServiceRequest) Value of extension
    .... extension:fallBackAction 0..1 Extension Extension
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "fallBackAction"
    ..... value[x] 0..1 code Value of extension
    Binding: FallBackAction (extensible)
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Complex Extension: This attribute enables the requester of this service to indicate they would like a certain specimen to be used, but if that is not available/appropriate to be used whether to have another specimen drawn, or that this test is not performed. When a specimen is referenced it is expected to be used. If it cannot be used, the decision to collect another specimen or not perform the test must be based on established policies or determined in some other agreed to way with the requester.

    • reference: CodeableReference: An Extension
    • fallBackAction: code: An Extension

    Maturity: 1

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Suggested specimen to be used
    ... Slices for extension Content/Rules for all slices
    .... extension:reference 1..1 Extension Extension
    ..... extension 0..0
    ..... url 1..1 uri "reference"
    ..... value[x] 0..1 CodeableReference(Specimen | ServiceRequest) Value of extension
    .... extension:fallBackAction 0..1 Extension Extension
    ..... extension 0..0
    ..... url 1..1 uri "fallBackAction"
    ..... value[x] 0..1 code Value of extension
    Binding: FallBackAction (extensible)
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"
    ... value[x] 0..0

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Suggested specimen to be used
    ... id 0..1 id Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:reference 1..1 Extension Extension
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "reference"
    ..... value[x] 0..1 CodeableReference(Specimen | ServiceRequest) Value of extension
    .... extension:fallBackAction 0..1 Extension Extension
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "fallBackAction"
    ..... value[x] 0..1 code Value of extension
    Binding: FallBackAction (extensible)
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.extension:fallBackAction.value[x]extensibleFallBackAction(a valid code from Fallback Action Code System)
    http://hl7.org/fhir/ValueSet/valueset-fallBackAction
    From this IG

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()

    R4B

    The extension is unchanged in R4B

    R4

    The extension is represented a little differently in R4:

    • Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
    • Note: Extensions that have been modified for R4 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: Filters doco
    . . Extension 0..* Extension Suggested specimen to be used
    . . . Slices for extension Content/Rules for all slices
    . . . . extension:reference 1..1 Extension Extension
    . . . . . Slices for extension 0 ..* Extension Extension
    Slice: Unordered, Open by value:url
    . . . . . . extension:_datatype 1..1 (Complex) DataType name 'CodeableReference' from R5
    URL: http://hl7.org/fhir/StructureDefinition/_datatype
    . . . . . . . value[x] 1.. 1 string Value of extension
    Fixed Value: CodeableReference
    . . . . . . extension:concept 0..1 Extension Reference to a concept (by class)
    . . . . . . . extension 0 .. 0
    . . . . . . . url 1 .. 1 uri "concept"
    . . . . . . . value[x] 1.. 1 CodeableConcept Value of extension
    . . . . . . extension:reference 0..1 Extension Reference to a resource (by instance)
    . . . . . . . extension 0 .. 0
    . . . . . . . url 1 .. 1 uri "reference"
    . . . . . . . value[x] 1.. 1 Reference () Value of extension
    . . . . . url 1 .. 1 uri "reference"
    . . . . . value[x] 0 .. 0
    . . . . extension:fallBackAction 0..1 Extension Extension
    . . . . . extension 0 .. 0
    . . . . . url 1 .. 1 uri "fallBackAction"
    . . . . . value[x] 0 .. 1 code Value of extension
    Binding: FallBackAction ( extensible )
    . . . url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"
    . . . value[x] 0 .. 0

    doco Documentation for this format

    R3

    The extension is represented a little differently in R3:

    • Adjust the extension context ServiceRequest to Basic
    • Remove the target profile http://hl7.org/fhir/StructureDefinition/ServiceRequest from the element Extension.extension:reference.value[x]
    • Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
    • Note: Extensions that have been modified for R3 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: Filters doco
    . . Extension 0..* Extension Suggested specimen to be used
    . . . Slices for extension Content/Rules for all slices
    . . . . extension:reference 1..1 Extension Extension
    . . . . . Slices for extension 0 ..* Extension Extension
    Slice: Unordered, Open by value:url
    . . . . . . extension:_datatype 1..1 (Complex) DataType name 'CodeableReference' from R5
    URL: http://hl7.org/fhir/StructureDefinition/_datatype
    . . . . . . . value[x] 1.. 1 string Value of extension
    Fixed Value: CodeableReference
    . . . . . . extension:concept 0..1 Extension Reference to a concept (by class)
    . . . . . . . extension 0 .. 0
    . . . . . . . url 1 .. 1 uri "concept"
    . . . . . . . value[x] 1.. 1 CodeableConcept Value of extension
    . . . . . . extension:reference 0..1 Extension Reference to a resource (by instance)
    . . . . . . . extension 0 .. 0
    . . . . . . . url 1 .. 1 uri "reference"
    . . . . . . . value[x] 1.. 1 Reference () Value of extension
    . . . . . url 1 .. 1 uri "reference"
    . . . . . value[x] 0 .. 0
    . . . . extension:fallBackAction 0..1 Extension Extension
    . . . . . extension 0 .. 0
    . . . . . url 1 .. 1 uri "fallBackAction"
    . . . . . value[x] 0 .. 1 code Value of extension
    Binding: FallBackAction ( extensible )
    . . . url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/servicerequest-specimenSuggestion"
    . . . value[x] 0 .. 0

    doco Documentation for this format

    Search Parameters for this Extension

    (none found)