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ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

Resource Profile: FRSpecimenDocument - Detailed Descriptions

Draft as of 2025-12-05

Definitions for the fr-specimen-document resource profile.

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Specimen
Définition

A sample to be used for analysis.

CourtSample for analysis
Contrôle0..*
Est modificateurfalse
Résuméfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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 (contained.where((('#'+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(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Specimen.implicitRules
Définition

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.

CourtA set of rules under which this content was created
Commentaires

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.

Contrôle0..1
Typeuri
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Specimen.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résuméfalse
Exigences

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.

Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Specimen.identifier
Définition

Id for specimen.

CourtIdentifiant de l'échantillon : L'identifiant de l'échantillon est éventuellement multiple (premier identifiant attribué par le préleveur, puis réidentification par le laboratoire). L'un des identifiants est visible sur l'échantillon matériel (par exemple en code barre sur le tube ou le bocal).External Identifier
NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle10..1*
TypeIdentifier
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Specimen.status
Définition

The availability of the specimen.

CourtStatut du specimenavailable | unavailable | unsatisfactory | entered-in-error
Commentaires

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Contrôle0..1
BindingLes codes DOIVENT (SHALL) être pris de SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1)

Codes providing the status/availability of a specimen.

Typecode
Est modificateurtrue parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Specimen.type
Définition

The kind of material that forms the specimen.

CourtÉchantillon prélevé (Si specimen provenant du corps du patient)Kind of material that forms the specimen
Commentaires

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.

Contrôle10..1
BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir JDV Specimen Type CISIShttp://terminology.hl7.org/ValueSet/v2-0487
(extensible to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-specimen-type-cisis)
TypeCodeableConcept
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Specimen.subject
Définition

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.

CourtSource de l’échantillon(substance) : Si specimen extérieur au patientWhere 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
Contrôle10..1
TypeReference(Substance, Patient, Group, Device, Substance, Location)
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Exigences

Must know the subject context.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Specimen.receivedTime
Définition

Time when specimen was received for processing or testing.

CourtDate de réception de l'échantillonThe time when specimen was received for processing
Contrôle0..1
TypedateTime
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Specimen.parent
Définition

Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.

CourtSpecimen from which this specimen originated
Commentaires

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.

Contrôle0..*
TypeReference(Specimen - FR Specimen Document, Specimen)
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Specimen.collection
Définition

Details concerning the specimen collection.

CourtCollection details
Contrôle0..1
TypeBackboneElement
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Specimen.collection.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored even if unrecognized
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumétrue
Exigences

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.

Noms alternatifsextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Specimen.collection.collector
Définition

Person who collected the specimen.

CourtOrganisation prélevanteWho collected the specimen
Contrôle0..1
TypeReference(FR PractitionerRole Document, FR Practitioner Document, Practitioner, PractitionerRole)
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Specimen.collection.collected[x]
Définition

Time when specimen was collected from subject - the physiologically relevant time.

CourtDate du prélèvement : La date et heure de prélèvement doit être renseignée si elle est connue. En cas d'acte ponctuel, c'est la date et heure de fin (élément collectedPeriod.end) qui horodate le prélèvement.Collection time
Contrôle0..1
TypeChoix de : dateTime, Period
Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Types qui doivent être pris en charge (Must Support)Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Specimen.collection.bodySite
Définition

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.

CourtLocalisation anatomiqueAnatomical collection site
Commentaires

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 bodySite.

Contrôle0..1
BindingPour des exemples de codes, voir SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site|4.0.1
(example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

Codes describing anatomical locations. May include laterality.

TypeCodeableConcept
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Specimen.collection.bodySite.coding
Définition

A reference to a code defined by a terminology system.

CourtCode defined by a terminology system
Commentaires

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Contrôle10..1*
TypeCoding
Est modificateurfalse
Résumétrue
Exigences

Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Specimen.collection.bodySite.coding.system
Définition

The identification of the code system that defines the meaning of the symbol in the code.

CourtIdentity of the terminology system
Commentaires

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Contrôle0..1
Typeuri
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Exigences

Need to be unambiguous about the source of the definition of the symbol.

Valeur de motifhttp://snomed.info/sct
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Specimen.processing
Définition

Details concerning processing and processing steps for the specimen.

CourtProcessing and processing step details
Contrôle0..*
TypeBackboneElement
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Specimen.processing.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored even if unrecognized
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumétrue
Exigences

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.

Noms alternatifsextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. Specimen.processing.description
Définition

Textual description of procedure.

CourtActe de prélèvement : Pour un prélèvement en vue d'examen de biologie médicale, le code affiné NABM de l'acte de prélèvement doit être renseigné si connu, sauf dans le cas d'un recueil d'échantillon effectué par le patient lui-même. Un prélèvement cytologique ou de tissu en vue d'un examen d'anatomie ou de cytologie pathologiques est codé à l'aide d'une nomenclature précisée dans les modèles de contenus métiers. Par défaut, utiliser le code suivant : code='33882-2' displayName='Prélèvement' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'Textual description of procedure
Contrôle0..1
Typestring
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Specimen.processing.procedure
Définition

A coded value specifying the procedure used to process the specimen.

CourtIndicates the treatment step applied to the specimen
Contrôle0..1
BindingPour des exemples de codes, voir SpecimenProcessingProcedurehttp://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1
(example to http://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1)

Type indicating the technique used to process the specimen.

TypeCodeableConcept
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Specimen.processing.procedure.coding
Définition

A reference to a code defined by a terminology system.

CourtCode defined by a terminology system
Commentaires

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Contrôle0..*
TypeCoding
Est modificateurfalse
Résumétrue
Exigences

Allows for alternative encodings within a code system, and translations to other code systems.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Specimen.processing.procedure.coding.code
Définition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

CourtActe de prélèvementSymbol in syntax defined by the system
Contrôle10..1
Typecode
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Résumétrue
Exigences

Need to refer to a particular code in the system.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Specimen.processing.additive
Définition

Material used in the processing step.

CourtProduit utiliséMaterial used in the processing step
Contrôle0..*
TypeReference(Substance)
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Specimen.container
Définition

The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.

CourtDispositif utiliséDirect container of specimen (tube/slide, etc.)
Contrôle0..*
TypeBackboneElement
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Specimen.container.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored even if unrecognized
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumétrue
Exigences

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.

Noms alternatifsextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
50. Specimen.container.type
Définition

The type of container associated with the specimen (e.g. slide, aliquot, etc.).

CourtCode du dispositifKind of container directly associated with specimen
Contrôle10..1
BindingPour des exemples de codes, voir SpecimenContainerTypehttp://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1
(example to http://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1)

Type of specimen container.

TypeCodeableConcept
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Specimen
2. Specimen.identifier
CourtIdentifiant de l'échantillon : L'identifiant de l'échantillon est éventuellement multiple (premier identifiant attribué par le préleveur, puis réidentification par le laboratoire). L'un des identifiants est visible sur l'échantillon matériel (par exemple en code barre sur le tube ou le bocal).
NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle1..1
Doit être pris en charge (Must Support)true
4. Specimen.status
CourtStatut du specimen
Doit être pris en charge (Must Support)true
6. Specimen.type
CourtÉchantillon prélevé (Si specimen provenant du corps du patient)
Contrôle1..?
BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de JDV Specimen Type CISIS
(extensible to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-specimen-type-cisis)
Doit être pris en charge (Must Support)true
8. Specimen.subject
CourtSource de l’échantillon(substance) : Si specimen extérieur au patient
Contrôle1..?
TypeReference(Substance)
Doit être pris en charge (Must Support)true
10. Specimen.receivedTime
CourtDate de réception de l'échantillon
Doit être pris en charge (Must Support)true
12. Specimen.parent
TypeReference(Specimen - FR Specimen Document)
14. Specimen.collection
16. Specimen.collection.collector
CourtOrganisation prélevante
TypeReference(FR PractitionerRole Document, FR Practitioner Document)
18. Specimen.collection.collected[x]
CourtDate du prélèvement : La date et heure de prélèvement doit être renseignée si elle est connue. En cas d'acte ponctuel, c'est la date et heure de fin (élément collectedPeriod.end) qui horodate le prélèvement.
Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Doit être pris en charge (Must Support)true
20. Specimen.collection.bodySite
CourtLocalisation anatomique
Doit être pris en charge (Must Support)true
22. Specimen.collection.bodySite.coding
Contrôle1..1
24. Specimen.collection.bodySite.coding.system
Valeur de motifhttp://snomed.info/sct
26. Specimen.processing
28. Specimen.processing.description
CourtActe de prélèvement : Pour un prélèvement en vue d'examen de biologie médicale, le code affiné NABM de l'acte de prélèvement doit être renseigné si connu, sauf dans le cas d'un recueil d'échantillon effectué par le patient lui-même. Un prélèvement cytologique ou de tissu en vue d'un examen d'anatomie ou de cytologie pathologiques est codé à l'aide d'une nomenclature précisée dans les modèles de contenus métiers. Par défaut, utiliser le code suivant : code='33882-2' displayName='Prélèvement' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'
30. Specimen.processing.procedure
32. Specimen.processing.procedure.coding
34. Specimen.processing.procedure.coding.code
CourtActe de prélèvement
Contrôle1..?
Doit être pris en charge (Must Support)true
36. Specimen.processing.additive
CourtProduit utilisé
Doit être pris en charge (Must Support)true
38. Specimen.container
CourtDispositif utilisé
Doit être pris en charge (Must Support)true
40. Specimen.container.type
CourtCode du dispositif
Contrôle1..?
Doit être pris en charge (Must Support)true

Des conseils sur linterprétation du contenu de ce tableau peuvent être trouvésici

0. Specimen
Définition

A sample to be used for analysis.

CourtSample for analysis
Contrôle0..*
Est modificateurfalse
Résuméfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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 (contained.where((('#'+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(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Specimen.id
Définition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

CourtLogical id of this artifact
Commentaires

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Contrôle0..1
Typeid
Est modificateurfalse
Résumétrue
4. Specimen.meta
Définition

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.

CourtMetadata about the resource
Contrôle0..1
TypeMeta
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Specimen.implicitRules
Définition

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.

CourtA set of rules under which this content was created
Commentaires

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.

Contrôle0..1
Typeuri
Est modificateurtrue parce que 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
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Specimen.language
Définition

The base language in which the resource is written.

CourtLanguage of the resource content
Commentaires

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).

Contrôle0..1
BindingLes codes DEVRAIENT (SHOULD) être pris de CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Bindings AdditionnelsBut
AllLanguagesBinding Max
Typecode
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Specimen.text
Définition

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.

CourtText summary of the resource, for human interpretation
Commentaires

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.

Contrôle0..1
TypeNarrative
Est modificateurfalse
Résuméfalse
Noms alternatifsnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Specimen.contained
Définition

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.

CourtContained, inline Resources
Commentaires

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.

Contrôle0..*
TypeResource
Est modificateurfalse
Résuméfalse
Noms alternatifsinline resources, anonymous resources, contained resources
14. Specimen.extension
Définition

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.

CourtAdditional content defined by implementations
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Specimen.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résuméfalse
Exigences

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.

Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Specimen.identifier
Définition

Id for specimen.

CourtIdentifiant de l'échantillon : L'identifiant de l'échantillon est éventuellement multiple (premier identifiant attribué par le préleveur, puis réidentification par le laboratoire). L'un des identifiants est visible sur l'échantillon matériel (par exemple en code barre sur le tube ou le bocal).
NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle1..1
TypeIdentifier
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Specimen.accessionIdentifier
Définition

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.

CourtIdentifier assigned by the lab
Contrôle0..1
TypeIdentifier
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Specimen.status
Définition

The availability of the specimen.

CourtStatut du specimen
Commentaires

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Contrôle0..1
BindingLes codes DOIVENT (SHALL) être pris de SpecimenStatus
(required to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1)

Codes providing the status/availability of a specimen.

Typecode
Est modificateurtrue parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Specimen.type
Définition

The kind of material that forms the specimen.

CourtÉchantillon prélevé (Si specimen provenant du corps du patient)
Commentaires

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.

Contrôle1..1
BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de JDV Specimen Type CISIS
(extensible to https://smt.esante.gouv.fr/fhir/ValueSet/jdv-specimen-type-cisis)
TypeCodeableConcept
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Specimen.subject
Définition

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.

CourtSource de l’échantillon(substance) : Si specimen extérieur au patient
Contrôle1..1
TypeReference(Substance)
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résumétrue
Exigences

Must know the subject context.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Specimen.receivedTime
Définition

Time when specimen was received for processing or testing.

CourtDate de réception de l'échantillon
Contrôle0..1
TypedateTime
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Specimen.parent
Définition

Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.

CourtSpecimen from which this specimen originated
Commentaires

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.

Contrôle0..*
TypeReference(Specimen - FR Specimen Document)
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Specimen.request
Définition

Details concerning a service request that required a specimen to be collected.

CourtWhy the specimen was collected
Commentaires

The request may be explicit or implied such with a ServiceRequest that requires a blood draw.

Contrôle0..*
TypeReference(ServiceRequest)
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Specimen.collection
Définition

Details concerning the specimen collection.

CourtCollection details
Contrôle0..1
TypeBackboneElement
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Specimen.collection.id
Définition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

CourtUnique id for inter-element referencing
Contrôle0..1
Typestring
Est modificateurfalse
Format XMLDans le format XML, cette propriété est représentée comme attribut.
Résuméfalse
38. Specimen.collection.extension
Définition

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.

CourtAdditional content defined by implementations
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Specimen.collection.modifierExtension
Définition

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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CourtExtensions that cannot be ignored even if unrecognized
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumétrue
Exigences

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.

Noms alternatifsextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Specimen.collection.collector
Définition

Person who collected the specimen.

CourtOrganisation prélevante
Contrôle0..1
TypeReference(FR PractitionerRole Document, FR Practitioner Document)
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Specimen.collection.collected[x]
Définition

Time when specimen was collected from subject - the physiologically relevant time.

CourtDate du prélèvement : La date et heure de prélèvement doit être renseignée si elle est connue. En cas d'acte ponctuel, c'est la date et heure de fin (élément collectedPeriod.end) qui horodate le prélèvement.
Contrôle0..1
TypeChoix de : dateTime, Period
Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
Est modificateurfalse
Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support)true
Types qui doivent être pris en charge (Must Support)Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Specimen.collection.duration
Définition

The span of time over which the collection of a specimen occurred.

CourtHow long it took to collect specimen
Contrôle0..1
TypeDuration
Est modificateurfalse
Résumétrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Specimen.collection.quantity
Définition

The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.

CourtThe quantity of specimen collected
Contrôle0..1
TypeQuantity(SimpleQuantity)
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Specimen.collection.method
Définition

A coded value specifying the technique that is used to perform the procedure.

CourtTechnique used to perform collection
Contrôle0..1
BindingPour des exemples de codes, voir FHIRSpecimenCollectionMethod
(example to http://hl7.org/fhir/ValueSet/specimen-collection-method|4.0.1)

The technique that is used to perform the procedure.

TypeCodeableConcept
Est modificateurfalse
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Specimen.collection.bodySite
Définition

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.

CourtLocalisation anatomique
Commentaires

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 bodySite.

Contrôle0..1
BindingPour des exemples de codes, voir SNOMEDCTBodyStructures
(example to http://hl7.org/fhir/ValueSet/body-site|4.0.1)

Codes describing anatomical locations. May include laterality.

TypeCodeableConcept
Est modificateurfalse
Doit être pris en charge (Must Support)true
Résuméfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Specimen.collection.bodySite.id
Définition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

CourtUnique id for inter-element referencing
Contrôle0..1
Typestring
Est modificateurfalse
Format XMLDans le format XML, cette propriété est représentée comme attribut.
Résuméfalse
56. Specimen.collection.bodySite.extension
Définition

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.

CourtAdditional content defined by implementations
Commentaires

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.

Contrôle0..*
TypeExtension
Est modificateurfalse
Résuméfalse
Noms alternatifsextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingCet élément introduit un ensemble de slices sur Specimen.collection.bodySite.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
  • value @ url
  • 58. Specimen.collection.bodySite.coding
    Définition

    A reference to a code defined by a terminology system.

    CourtCode defined by a terminology system
    Commentaires

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Contrôle1..1
    TypeCoding
    Est modificateurfalse
    Résumétrue
    Exigences

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Specimen.collection.bodySite.coding.id
    Définition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    CourtUnique id for inter-element referencing
    Contrôle0..1
    Typestring
    Est modificateurfalse
    Format XMLDans le format XML, cette propriété est représentée comme attribut.
    Résuméfalse
    62. Specimen.collection.bodySite.coding.extension
    Définition

    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.

    CourtAdditional content defined by implementations
    Commentaires

    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.

    Contrôle0..*
    TypeExtension
    Est modificateurfalse
    Résuméfalse
    Noms alternatifsextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingCet élément introduit un ensemble de slices sur Specimen.collection.bodySite.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
    • value @ url
    • 64. Specimen.collection.bodySite.coding.system
      Définition

      The identification of the code system that defines the meaning of the symbol in the code.

      CourtIdentity of the terminology system
      Commentaires

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

      Contrôle0..1
      Typeuri
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Need to be unambiguous about the source of the definition of the symbol.

      Valeur de motifhttp://snomed.info/sct
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Specimen.collection.bodySite.coding.version
      Définition

      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

      CourtVersion of the system - if relevant
      Commentaires

      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

      NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Specimen.collection.bodySite.coding.code
      Définition

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      CourtSymbol in syntax defined by the system
      Contrôle0..1
      Typecode
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Specimen.collection.bodySite.coding.display
      Définition

      A representation of the meaning of the code in the system, following the rules of the system.

      CourtRepresentation defined by the system
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Specimen.collection.bodySite.coding.userSelected
      Définition

      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

      CourtIf this coding was chosen directly by the user
      Commentaires

      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

      Contrôle0..1
      Typeboolean
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Specimen.collection.bodySite.text
      Définition

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      CourtPlain text representation of the concept
      Commentaires

      Very often the text is the same as a displayName of one of the codings.

      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résumétrue
      Exigences

      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. Specimen.collection.fastingStatus[x]
      Définition

      Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.

      CourtWhether or how long patient abstained from food and/or drink
      Commentaires

      Representing 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 asObservation.component code` = LOINC 49541-6 (Fasting status - Reported).

      Contrôle0..1
      BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de hl7VS-relevantClincialInformation
      (extensible to http://terminology.hl7.org/ValueSet/v2-0916)

      Codes describing the fasting status of the patient.

      TypeChoix de : CodeableConcept, Duration
      Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
      Est modificateurfalse
      Résumétrue
      Exigences

      Many diagnostic tests require fasting to facilitate accurate interpretation.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Specimen.processing
      Définition

      Details concerning processing and processing steps for the specimen.

      CourtProcessing and processing step details
      Contrôle0..*
      TypeBackboneElement
      Est modificateurfalse
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Specimen.processing.id
      Définition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      CourtUnique id for inter-element referencing
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Format XMLDans le format XML, cette propriété est représentée comme attribut.
      Résuméfalse
      82. Specimen.processing.extension
      Définition

      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.

      CourtAdditional content defined by implementations
      Commentaires

      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.

      Contrôle0..*
      TypeExtension
      Est modificateurfalse
      Résuméfalse
      Noms alternatifsextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      84. Specimen.processing.modifierExtension
      Définition

      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.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CourtExtensions that cannot be ignored even if unrecognized
      Commentaires

      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.

      Contrôle0..*
      TypeExtension
      Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Résumétrue
      Exigences

      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.

      Noms alternatifsextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      86. Specimen.processing.description
      Définition

      Textual description of procedure.

      CourtActe de prélèvement : Pour un prélèvement en vue d'examen de biologie médicale, le code affiné NABM de l'acte de prélèvement doit être renseigné si connu, sauf dans le cas d'un recueil d'échantillon effectué par le patient lui-même. Un prélèvement cytologique ou de tissu en vue d'un examen d'anatomie ou de cytologie pathologiques est codé à l'aide d'une nomenclature précisée dans les modèles de contenus métiers. Par défaut, utiliser le code suivant : code='33882-2' displayName='Prélèvement' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. Specimen.processing.procedure
      Définition

      A coded value specifying the procedure used to process the specimen.

      CourtIndicates the treatment step applied to the specimen
      Contrôle0..1
      BindingPour des exemples de codes, voir SpecimenProcessingProcedure
      (example to http://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1)

      Type indicating the technique used to process the specimen.

      TypeCodeableConcept
      Est modificateurfalse
      Résuméfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. Specimen.processing.procedure.id
      Définition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      CourtUnique id for inter-element referencing
      Contrôle0..1
      Typestring
      Est modificateurfalse
      Format XMLDans le format XML, cette propriété est représentée comme attribut.
      Résuméfalse
      92. Specimen.processing.procedure.extension
      Définition

      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.

      CourtAdditional content defined by implementations
      Commentaires

      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.

      Contrôle0..*
      TypeExtension
      Est modificateurfalse
      Résuméfalse
      Noms alternatifsextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingCet élément introduit un ensemble de slices sur Specimen.processing.procedure.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
      • value @ url
      • 94. Specimen.processing.procedure.coding
        Définition

        A reference to a code defined by a terminology system.

        CourtCode defined by a terminology system
        Commentaires

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Contrôle0..*
        TypeCoding
        Est modificateurfalse
        Résumétrue
        Exigences

        Allows for alternative encodings within a code system, and translations to other code systems.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Specimen.processing.procedure.coding.id
        Définition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        CourtUnique id for inter-element referencing
        Contrôle0..1
        Typestring
        Est modificateurfalse
        Format XMLDans le format XML, cette propriété est représentée comme attribut.
        Résuméfalse
        98. Specimen.processing.procedure.coding.extension
        Définition

        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.

        CourtAdditional content defined by implementations
        Commentaires

        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.

        Contrôle0..*
        TypeExtension
        Est modificateurfalse
        Résuméfalse
        Noms alternatifsextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingCet élément introduit un ensemble de slices sur Specimen.processing.procedure.coding.extension. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants :
        • value @ url
        • 100. Specimen.processing.procedure.coding.system
          Définition

          The identification of the code system that defines the meaning of the symbol in the code.

          CourtIdentity of the terminology system
          Commentaires

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Contrôle0..1
          Typeuri
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Exigences

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. Specimen.processing.procedure.coding.version
          Définition

          The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

          CourtVersion of the system - if relevant
          Commentaires

          Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

          NoteCeci est un ID de version métier, pas un ID de version de ressource (voir discussion)
          Contrôle0..1
          Typestring
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Specimen.processing.procedure.coding.code
          Définition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          CourtActe de prélèvement
          Contrôle1..1
          Typecode
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Doit être pris en charge (Must Support)true
          Résumétrue
          Exigences

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. Specimen.processing.procedure.coding.display
          Définition

          A representation of the meaning of the code in the system, following the rules of the system.

          CourtRepresentation defined by the system
          Contrôle0..1
          Typestring
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Exigences

          Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. Specimen.processing.procedure.coding.userSelected
          Définition

          Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

          CourtIf this coding was chosen directly by the user
          Commentaires

          Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

          Contrôle0..1
          Typeboolean
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Exigences

          This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. Specimen.processing.procedure.text
          Définition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          CourtPlain text representation of the concept
          Commentaires

          Very often the text is the same as a displayName of one of the codings.

          Contrôle0..1
          Typestring
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résumétrue
          Exigences

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. Specimen.processing.additive
          Définition

          Material used in the processing step.

          CourtProduit utilisé
          Contrôle0..*
          TypeReference(Substance)
          Est modificateurfalse
          Doit être pris en charge (Must Support)true
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. Specimen.processing.time[x]
          Définition

          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.

          CourtDate and time of specimen processing
          Contrôle0..1
          TypeChoix de : dateTime, Period
          Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. Specimen.container
          Définition

          The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.

          CourtDispositif utilisé
          Contrôle0..*
          TypeBackboneElement
          Est modificateurfalse
          Doit être pris en charge (Must Support)true
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. Specimen.container.id
          Définition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          CourtUnique id for inter-element referencing
          Contrôle0..1
          Typestring
          Est modificateurfalse
          Format XMLDans le format XML, cette propriété est représentée comme attribut.
          Résuméfalse
          120. Specimen.container.extension
          Définition

          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.

          CourtAdditional content defined by implementations
          Commentaires

          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.

          Contrôle0..*
          TypeExtension
          Est modificateurfalse
          Résuméfalse
          Noms alternatifsextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          122. Specimen.container.modifierExtension
          Définition

          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.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          CourtExtensions that cannot be ignored even if unrecognized
          Commentaires

          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.

          Contrôle0..*
          TypeExtension
          Est modificateurtrue parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Résumétrue
          Exigences

          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.

          Noms alternatifsextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          124. Specimen.container.identifier
          Définition

          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.

          CourtId for the container
          NoteCeci est un identifiant métier, pas un identifiant de ressource (voir discussion)
          Contrôle0..*
          TypeIdentifier
          Est modificateurfalse
          Résumétrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          126. Specimen.container.description
          Définition

          Textual description of the container.

          CourtTextual description of the container
          Contrôle0..1
          Typestring
          Est modificateurfalse
          Valeur primitiveCet élément primitif peut être présent, absent ou remplacé par une extension
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. Specimen.container.type
          Définition

          The type of container associated with the specimen (e.g. slide, aliquot, etc.).

          CourtCode du dispositif
          Contrôle1..1
          BindingPour des exemples de codes, voir SpecimenContainerType
          (example to http://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1)

          Type of specimen container.

          TypeCodeableConcept
          Est modificateurfalse
          Doit être pris en charge (Must Support)true
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          130. Specimen.container.capacity
          Définition

          The capacity (volume or other measure) the container may contain.

          CourtContainer volume or size
          Contrôle0..1
          TypeQuantity(SimpleQuantity)
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          132. Specimen.container.specimenQuantity
          Définition

          The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.

          CourtQuantity of specimen within container
          Contrôle0..1
          TypeQuantity(SimpleQuantity)
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. Specimen.container.additive[x]
          Définition

          Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.

          CourtAdditive associated with container
          Contrôle0..1
          BindingPour des exemples de codes, voir hl7VS-additivePreservative
          (example to http://terminology.hl7.org/ValueSet/v2-0371)

          Substance added to specimen container.

          TypeChoix de : CodeableConcept, Reference(Substance)
          Note [x]VoirChoix de types de donnéespour plus dinformations sur lutilisation de [x]
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. Specimen.condition
          Définition

          A mode or state of being that describes the nature of the specimen.

          CourtState of the specimen
          Commentaires

          Specimen 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.

          Contrôle0..*
          BindingSauf si inapproprié, ces codes DOIVENT (SHALL) être pris de hl7VS-specimenCondition
          (extensible to http://terminology.hl7.org/ValueSet/v2-0493)

          Codes describing the state of the specimen.

          TypeCodeableConcept
          Est modificateurfalse
          Résumétrue
          Exigences

          The specimen condition can be used to assess its quality or appropriateness for a specific test.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          138. Specimen.note
          Définition

          To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).

          CourtComments
          Contrôle0..*
          TypeAnnotation
          Est modificateurfalse
          Résuméfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))