ReteLabSpecimenCampioneLaboratorio
Descrizione
Il profilo ReteLabSpecimenCampioneLaboratorio è stato strutturato a partire dalla risorsa generica FHIR Specimen utilizzata per descrivere i campioni che verranno analizzati. Questo profilo può essere presente nei seguenti scenari:
- Nuova Richiesta da LR a OMR,
- Richiesta e risposta di cancellazione e modifica,
- Check-in servente,
- Notifica eseguito e completato.
Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: ReteLabSpecimenCampioneLaboratorio.
Snapshot View
ReteLabSpecimenCampioneLaboratorio (Specimen) | C | Specimen | Element idSpecimenShort description Descrive i campioni che verranno analizzati DefinitionRisorsa utilizzata per descrivere la tipologia di campioni da utilizzare nelle prestazioni richieste. Segmento HL7 secondo specifiche regionali: SPM
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idSpecimen.metaShort description Metadata about the resource DefinitionThe 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.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.implicitRulesShort description A set of rules under which this content was created DefinitionA 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. 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.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idSpecimen.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idSpecimen.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idSpecimen.identifierShort description External Identifier DefinitionId for specimen.
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accessionIdentifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idSpecimen.accessionIdentifierShort description Identifier assigned by the lab DefinitionThe identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.statusShort description available | unavailable | unsatisfactory | entered-in-error DefinitionThe availability of the specimen. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes providing the status/availability of a specimen.
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type | Σ | 1..1 | CodeableConceptBinding | Element idSpecimen.typeShort description Tipologia del campione o identificativo del materiale biologico DefinitionThe kind of material that forms the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 The type of the specimen. Tipologia di materiale biologico (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.type.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriAuto Value | Element idSpecimen.type.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenTypeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 1..1 | codeBinding | Element idSpecimen.type.coding.codeShort description Codice del campione DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Tipologia di materiale biologico (required) Constraints
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display | Σ | 1..1 | stringBinding | Element idSpecimen.type.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Tipologia di materiale biologico (required) Constraints
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.type.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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subject | Σ | 0..1 | Reference(ReteLabPatientCittadino) | Element idSpecimen.subjectShort description Paziente di riferimento DefinitionReference al profilo ReteLabPatientCittadino Must know the subject context. Reference(ReteLabPatientCittadino) Constraints
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receivedTime | Σ | 0..1 | dateTime | Element idSpecimen.receivedTimeShort description Data e ora dell'arrivo del campione al laboratorio servente DefinitionCorrispondente secondo specifiche regionali al campo SPM-18. Data e ora del check in servente.
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parent | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idSpecimen.parentShort description Specimen from which this specimen originated DefinitionReference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. 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.
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request | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element idSpecimen.requestShort description Why the specimen was collected DefinitionDetails concerning a service request that required a specimen to be collected. The request may be explicit or implied such with a ServiceRequest that requires a blood draw.
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collection | 0..1 | BackboneElement | Element idSpecimen.collectionShort description Dettagli sul prelievo. DefinitionDetails concerning the specimen collection.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idSpecimen.collection.collectorShort description Who collected the specimen DefinitionPerson who collected the specimen. Reference(Practitioner | PractitionerRole) Constraints
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collected[x] | Σ | 0..1 | There are no (further) constraints on this element Element idSpecimen.collection.collected[x]Short description Collection time DefinitionTime when specimen was collected from subject - the physiologically relevant time.
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collectedDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
collectedPeriod | Period | There are no (further) constraints on this element Data type | ||||
duration | Σ | 0..1 | Duration | There are no (further) constraints on this element Element idSpecimen.collection.durationShort description How long it took to collect specimen DefinitionThe span of time over which the collection of a specimen occurred.
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quantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.collection.quantityShort description The quantity of specimen collected DefinitionThe quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.collection.methodShort description Technique used to perform collection DefinitionA coded value specifying the technique that is used to perform the procedure. The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints
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bodySite | 0..1 | CodeableConcept | Element idSpecimen.collection.bodySiteShort description Sede anatomica di prelievo DefinitionAnatomical 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. Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | Element idSpecimen.collection.bodySite.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.collection.bodySite.coding.codeShort description Codice sede anatomica di prelievo DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1
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display | Σ | 0..1 | string | Element idSpecimen.collection.bodySite.coding.displayShort description Descrizione sede anatomica di prelievo DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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fastingStatus[x] | Σ | 0..1 | Binding | There are no (further) constraints on this element Element idSpecimen.collection.fastingStatus[x]Short description Whether or how long patient abstained from food and/or drink DefinitionAbstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Many diagnostic tests require fasting to facilitate accurate interpretation. 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 Codes describing the fasting status of the patient.
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fastingStatusCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
fastingStatusDuration | Duration | There are no (further) constraints on this element Data type | ||||
processing | 0..* | BackboneElement | Element idSpecimen.processingShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) DefinitionDetails concerning processing and processing steps for the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.descriptionShort description Textual description of procedure DefinitionTextual description of procedure.
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procedure | 0..1 | CodeableConceptBinding | Element idSpecimen.processing.procedureShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). DefinitionA coded value specifying the procedure used to process the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Type indicating the technique used to process the specimen. Procedura di trattamento campione di laboratorio (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.processing.procedure.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.processing.procedure.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenHandlingCodeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.processing.procedure.coding.codeShort description Codice DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1
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display | Σ | 0..1 | string | Element idSpecimen.processing.procedure.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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additive | 0..* | Reference(Substance) | There are no (further) constraints on this element Element idSpecimen.processing.additiveShort description Material used in the processing step DefinitionMaterial used in the processing step.
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time[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.processing.time[x]Short description Date and time of specimen processing DefinitionA 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.
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timeDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
timePeriod | Period | There are no (further) constraints on this element Data type | ||||
container | 0..* | BackboneElement | Element idSpecimen.containerShort description Contenitore in cui viene raccolto il campione. DefinitionObbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | Element idSpecimen.container.identifierShort description Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35 DefinitionId 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.container.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/CodeSystem/IdentificativoCampioneExamples General http://www.acme.com/identifiers/patientMappings
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value | Σ | 0..1 | string | Element idSpecimen.container.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. Corrispondente campo HL7 secondo specifiche regionali: SAC-3
General 123456Mappings
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period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idSpecimen.container.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idSpecimen.container.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.descriptionShort description Textual description of the container DefinitionTextual description of the container.
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type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.container.typeShort description Kind of container directly associated with specimen DefinitionThe type of container associated with the specimen (e.g. slide, aliquot, etc.). Type of specimen container. SpecimenContainerType (example) Constraints
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capacity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.capacityShort description Container volume or size DefinitionThe capacity (volume or other measure) the container may contain.
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specimenQuantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.specimenQuantityShort description Quantity of specimen within container DefinitionThe quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.
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additive[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.container.additive[x]Short description Additive associated with container DefinitionIntroduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Substance added to specimen container.
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additiveCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
additiveReference | Reference(Substance) | There are no (further) constraints on this element Data type | ||||
condition | Σ | 0..* | CodeableConceptBinding | Element idSpecimen.conditionShort description Condizioni del campione. Rappresenta il motivo del rifiuto. DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21. The specimen condition can be used to assess its quality or appropriateness for a specific test. Va utilizzato solo nel flusso Check-In da LS a LR, per indicare il motivo del rifiuto del campione. Ad esempio: campione non pervenuto, quantità insufficiente, contenitore rotto, campione emolizzato. Codes describing the state of the specimen.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.condition.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.condition.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.condition.coding.codeShort description Motivo del rifiuto del campione DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-1 Need to refer to a particular code in the system.
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display | Σ | 0..1 | string | Element idSpecimen.condition.coding.displayShort description Representation defined by the system DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-2 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.condition.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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note | 0..* | Annotation | There are no (further) constraints on this element Element idSpecimen.noteShort description Comments DefinitionTo communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).
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Differential View
ReteLabSpecimenCampioneLaboratorio (Specimen) | C | Specimen | Element idSpecimenShort description Descrive i campioni che verranno analizzati DefinitionRisorsa utilizzata per descrivere la tipologia di campioni da utilizzare nelle prestazioni richieste. Segmento HL7 secondo specifiche regionali: SPM
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idSpecimen.metaShort description Metadata about the resource DefinitionThe 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.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.implicitRulesShort description A set of rules under which this content was created DefinitionA 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. 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.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idSpecimen.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idSpecimen.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idSpecimen.identifierShort description External Identifier DefinitionId for specimen.
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accessionIdentifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idSpecimen.accessionIdentifierShort description Identifier assigned by the lab DefinitionThe identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.statusShort description available | unavailable | unsatisfactory | entered-in-error DefinitionThe availability of the specimen. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes providing the status/availability of a specimen.
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type | Σ | 1..1 | CodeableConceptBinding | Element idSpecimen.typeShort description Tipologia del campione o identificativo del materiale biologico DefinitionThe kind of material that forms the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 The type of the specimen. Tipologia di materiale biologico (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.type.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriAuto Value | Element idSpecimen.type.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenTypeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 1..1 | codeBinding | Element idSpecimen.type.coding.codeShort description Codice del campione DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Tipologia di materiale biologico (required) Constraints
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display | Σ | 1..1 | stringBinding | Element idSpecimen.type.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Tipologia di materiale biologico (required) Constraints
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.type.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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subject | Σ | 0..1 | Reference(ReteLabPatientCittadino) | Element idSpecimen.subjectShort description Paziente di riferimento DefinitionReference al profilo ReteLabPatientCittadino Must know the subject context. Reference(ReteLabPatientCittadino) Constraints
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receivedTime | Σ | 0..1 | dateTime | Element idSpecimen.receivedTimeShort description Data e ora dell'arrivo del campione al laboratorio servente DefinitionCorrispondente secondo specifiche regionali al campo SPM-18. Data e ora del check in servente.
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parent | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idSpecimen.parentShort description Specimen from which this specimen originated DefinitionReference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. 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.
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request | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element idSpecimen.requestShort description Why the specimen was collected DefinitionDetails concerning a service request that required a specimen to be collected. The request may be explicit or implied such with a ServiceRequest that requires a blood draw.
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collection | 0..1 | BackboneElement | Element idSpecimen.collectionShort description Dettagli sul prelievo. DefinitionDetails concerning the specimen collection.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idSpecimen.collection.collectorShort description Who collected the specimen DefinitionPerson who collected the specimen. Reference(Practitioner | PractitionerRole) Constraints
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collected[x] | Σ | 0..1 | There are no (further) constraints on this element Element idSpecimen.collection.collected[x]Short description Collection time DefinitionTime when specimen was collected from subject - the physiologically relevant time.
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collectedDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
collectedPeriod | Period | There are no (further) constraints on this element Data type | ||||
duration | Σ | 0..1 | Duration | There are no (further) constraints on this element Element idSpecimen.collection.durationShort description How long it took to collect specimen DefinitionThe span of time over which the collection of a specimen occurred.
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quantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.collection.quantityShort description The quantity of specimen collected DefinitionThe quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.collection.methodShort description Technique used to perform collection DefinitionA coded value specifying the technique that is used to perform the procedure. The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints
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bodySite | 0..1 | CodeableConcept | Element idSpecimen.collection.bodySiteShort description Sede anatomica di prelievo DefinitionAnatomical 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. Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | Element idSpecimen.collection.bodySite.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.collection.bodySite.coding.codeShort description Codice sede anatomica di prelievo DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1
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display | Σ | 0..1 | string | Element idSpecimen.collection.bodySite.coding.displayShort description Descrizione sede anatomica di prelievo DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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fastingStatus[x] | Σ | 0..1 | Binding | There are no (further) constraints on this element Element idSpecimen.collection.fastingStatus[x]Short description Whether or how long patient abstained from food and/or drink DefinitionAbstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Many diagnostic tests require fasting to facilitate accurate interpretation. 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 Codes describing the fasting status of the patient.
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fastingStatusCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
fastingStatusDuration | Duration | There are no (further) constraints on this element Data type | ||||
processing | 0..* | BackboneElement | Element idSpecimen.processingShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) DefinitionDetails concerning processing and processing steps for the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.descriptionShort description Textual description of procedure DefinitionTextual description of procedure.
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procedure | 0..1 | CodeableConceptBinding | Element idSpecimen.processing.procedureShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). DefinitionA coded value specifying the procedure used to process the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Type indicating the technique used to process the specimen. Procedura di trattamento campione di laboratorio (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.processing.procedure.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.processing.procedure.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenHandlingCodeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.processing.procedure.coding.codeShort description Codice DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1
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display | Σ | 0..1 | string | Element idSpecimen.processing.procedure.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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additive | 0..* | Reference(Substance) | There are no (further) constraints on this element Element idSpecimen.processing.additiveShort description Material used in the processing step DefinitionMaterial used in the processing step.
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time[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.processing.time[x]Short description Date and time of specimen processing DefinitionA 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.
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timeDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
timePeriod | Period | There are no (further) constraints on this element Data type | ||||
container | 0..* | BackboneElement | Element idSpecimen.containerShort description Contenitore in cui viene raccolto il campione. DefinitionObbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | Element idSpecimen.container.identifierShort description Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35 DefinitionId 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.container.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/CodeSystem/IdentificativoCampioneExamples General http://www.acme.com/identifiers/patientMappings
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value | Σ | 0..1 | string | Element idSpecimen.container.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. Corrispondente campo HL7 secondo specifiche regionali: SAC-3
General 123456Mappings
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period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idSpecimen.container.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idSpecimen.container.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.descriptionShort description Textual description of the container DefinitionTextual description of the container.
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type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.container.typeShort description Kind of container directly associated with specimen DefinitionThe type of container associated with the specimen (e.g. slide, aliquot, etc.). Type of specimen container. SpecimenContainerType (example) Constraints
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capacity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.capacityShort description Container volume or size DefinitionThe capacity (volume or other measure) the container may contain.
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specimenQuantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.specimenQuantityShort description Quantity of specimen within container DefinitionThe quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.
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additive[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.container.additive[x]Short description Additive associated with container DefinitionIntroduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Substance added to specimen container.
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additiveCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
additiveReference | Reference(Substance) | There are no (further) constraints on this element Data type | ||||
condition | Σ | 0..* | CodeableConceptBinding | Element idSpecimen.conditionShort description Condizioni del campione. Rappresenta il motivo del rifiuto. DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21. The specimen condition can be used to assess its quality or appropriateness for a specific test. Va utilizzato solo nel flusso Check-In da LS a LR, per indicare il motivo del rifiuto del campione. Ad esempio: campione non pervenuto, quantità insufficiente, contenitore rotto, campione emolizzato. Codes describing the state of the specimen.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.condition.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.condition.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.condition.coding.codeShort description Motivo del rifiuto del campione DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-1 Need to refer to a particular code in the system.
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display | Σ | 0..1 | string | Element idSpecimen.condition.coding.displayShort description Representation defined by the system DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-2 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.condition.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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note | 0..* | Annotation | There are no (further) constraints on this element Element idSpecimen.noteShort description Comments DefinitionTo communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).
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Hybrid View
ReteLabSpecimenCampioneLaboratorio (Specimen) | C | Specimen | Element idSpecimenShort description Descrive i campioni che verranno analizzati DefinitionRisorsa utilizzata per descrivere la tipologia di campioni da utilizzare nelle prestazioni richieste. Segmento HL7 secondo specifiche regionali: SPM
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.idShort description Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idSpecimen.metaShort description Metadata about the resource DefinitionThe 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.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.implicitRulesShort description A set of rules under which this content was created DefinitionA 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. 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.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.languageShort description Language of the resource content DefinitionThe base language in which the resource is written. 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). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idSpecimen.textShort description Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA 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. 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.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idSpecimen.containedShort description Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese 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. 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.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.modifierExtensionShort description Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idSpecimen.identifierShort description External Identifier DefinitionId for specimen.
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accessionIdentifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idSpecimen.accessionIdentifierShort description Identifier assigned by the lab DefinitionThe identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.
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status | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.statusShort description available | unavailable | unsatisfactory | entered-in-error DefinitionThe availability of the specimen. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Codes providing the status/availability of a specimen.
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type | Σ | 1..1 | CodeableConceptBinding | Element idSpecimen.typeShort description Tipologia del campione o identificativo del materiale biologico DefinitionThe kind of material that forms the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 The type of the specimen. Tipologia di materiale biologico (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.type.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.type.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uriAuto Value | Element idSpecimen.type.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenTypeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 1..1 | codeBinding | Element idSpecimen.type.coding.codeShort description Codice del campione DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Tipologia di materiale biologico (required) Constraints
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display | Σ | 1..1 | stringBinding | Element idSpecimen.type.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Tipologia di materiale biologico (required) Constraints
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.type.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.type.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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subject | Σ | 0..1 | Reference(ReteLabPatientCittadino) | Element idSpecimen.subjectShort description Paziente di riferimento DefinitionReference al profilo ReteLabPatientCittadino Must know the subject context. Reference(ReteLabPatientCittadino) Constraints
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receivedTime | Σ | 0..1 | dateTime | Element idSpecimen.receivedTimeShort description Data e ora dell'arrivo del campione al laboratorio servente DefinitionCorrispondente secondo specifiche regionali al campo SPM-18. Data e ora del check in servente.
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parent | 0..* | Reference(Specimen) | There are no (further) constraints on this element Element idSpecimen.parentShort description Specimen from which this specimen originated DefinitionReference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. 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.
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request | 0..* | Reference(ServiceRequest) | There are no (further) constraints on this element Element idSpecimen.requestShort description Why the specimen was collected DefinitionDetails concerning a service request that required a specimen to be collected. The request may be explicit or implied such with a ServiceRequest that requires a blood draw.
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collection | 0..1 | BackboneElement | Element idSpecimen.collectionShort description Dettagli sul prelievo. DefinitionDetails concerning the specimen collection.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | There are no (further) constraints on this element Element idSpecimen.collection.collectorShort description Who collected the specimen DefinitionPerson who collected the specimen. Reference(Practitioner | PractitionerRole) Constraints
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collected[x] | Σ | 0..1 | There are no (further) constraints on this element Element idSpecimen.collection.collected[x]Short description Collection time DefinitionTime when specimen was collected from subject - the physiologically relevant time.
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collectedDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
collectedPeriod | Period | There are no (further) constraints on this element Data type | ||||
duration | Σ | 0..1 | Duration | There are no (further) constraints on this element Element idSpecimen.collection.durationShort description How long it took to collect specimen DefinitionThe span of time over which the collection of a specimen occurred.
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quantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.collection.quantityShort description The quantity of specimen collected DefinitionThe quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.collection.methodShort description Technique used to perform collection DefinitionA coded value specifying the technique that is used to perform the procedure. The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints
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bodySite | 0..1 | CodeableConcept | Element idSpecimen.collection.bodySiteShort description Sede anatomica di prelievo DefinitionAnatomical 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. Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | Element idSpecimen.collection.bodySite.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.collection.bodySite.coding.codeShort description Codice sede anatomica di prelievo DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1
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display | Σ | 0..1 | string | Element idSpecimen.collection.bodySite.coding.displayShort description Descrizione sede anatomica di prelievo DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.collection.bodySite.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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fastingStatus[x] | Σ | 0..1 | Binding | There are no (further) constraints on this element Element idSpecimen.collection.fastingStatus[x]Short description Whether or how long patient abstained from food and/or drink DefinitionAbstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Many diagnostic tests require fasting to facilitate accurate interpretation. 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 Codes describing the fasting status of the patient.
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fastingStatusCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
fastingStatusDuration | Duration | There are no (further) constraints on this element Data type | ||||
processing | 0..* | BackboneElement | Element idSpecimen.processingShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) DefinitionDetails concerning processing and processing steps for the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.descriptionShort description Textual description of procedure DefinitionTextual description of procedure.
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procedure | 0..1 | CodeableConceptBinding | Element idSpecimen.processing.procedureShort description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). DefinitionA coded value specifying the procedure used to process the specimen. Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Type indicating the technique used to process the specimen. Procedura di trattamento campione di laboratorio (required) Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.processing.procedure.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.processing.procedure.coding.systemShort description Sistema di codifica DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3
https://fhir.siss.regione.lombardia.it/ValueSet/SpecimenHandlingCodeMappings
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.processing.procedure.coding.codeShort description Codice DefinitionA 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). Need to refer to a particular code in the system. Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1
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display | Σ | 0..1 | string | Element idSpecimen.processing.procedure.coding.displayShort description Descrizione DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.processing.procedure.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.processing.procedure.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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additive | 0..* | Reference(Substance) | There are no (further) constraints on this element Element idSpecimen.processing.additiveShort description Material used in the processing step DefinitionMaterial used in the processing step.
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time[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.processing.time[x]Short description Date and time of specimen processing DefinitionA 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.
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timeDateTime | dateTime | There are no (further) constraints on this element Data type | ||||
timePeriod | Period | There are no (further) constraints on this element Data type | ||||
container | 0..* | BackboneElement | Element idSpecimen.containerShort description Contenitore in cui viene raccolto il campione. DefinitionObbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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.
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modifierExtension | Σ ?! C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.modifierExtensionShort description Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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identifier | Σ | 0..* | Identifier | Element idSpecimen.container.identifierShort description Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35 DefinitionId 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.identifier.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.container.identifier.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.useShort description usual | official | temp | secondary | old (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known .
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idSpecimen.container.identifier.typeShort description Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints
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system | Σ | 0..1 | uriAuto Value | Element idSpecimen.container.identifier.systemShort description The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Identifier.system is always case sensitive.
https://fhir.siss.regione.lombardia.it/CodeSystem/IdentificativoCampioneExamples General http://www.acme.com/identifiers/patientMappings
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value | Σ | 0..1 | string | Element idSpecimen.container.identifier.valueShort description The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. Corrispondente campo HL7 secondo specifiche regionali: SAC-3
General 123456Mappings
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period | Σ | 0..1 | Period | There are no (further) constraints on this element Element idSpecimen.container.identifier.periodShort description Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use.
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assigner | Σ | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idSpecimen.container.identifier.assignerShort description Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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description | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.container.descriptionShort description Textual description of the container DefinitionTextual description of the container.
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type | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idSpecimen.container.typeShort description Kind of container directly associated with specimen DefinitionThe type of container associated with the specimen (e.g. slide, aliquot, etc.). Type of specimen container. SpecimenContainerType (example) Constraints
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capacity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.capacityShort description Container volume or size DefinitionThe capacity (volume or other measure) the container may contain.
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specimenQuantity | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idSpecimen.container.specimenQuantityShort description Quantity of specimen within container DefinitionThe quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.
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additive[x] | 0..1 | There are no (further) constraints on this element Element idSpecimen.container.additive[x]Short description Additive associated with container DefinitionIntroduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Substance added to specimen container.
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additiveCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||||
additiveReference | Reference(Substance) | There are no (further) constraints on this element Data type | ||||
condition | Σ | 0..* | CodeableConceptBinding | Element idSpecimen.conditionShort description Condizioni del campione. Rappresenta il motivo del rifiuto. DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21. The specimen condition can be used to assess its quality or appropriateness for a specific test. Va utilizzato solo nel flusso Check-In da LS a LR, per indicare il motivo del rifiuto del campione. Ad esempio: campione non pervenuto, quantità insufficiente, contenitore rotto, campione emolizzato. Codes describing the state of the specimen.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idSpecimen.condition.codingShort description Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. 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.
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id | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.idShort description Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | C | 0..* | Extension | There are no (further) constraints on this element Element idSpecimen.condition.coding.extensionShort description Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uri | There are no (further) constraints on this element Element idSpecimen.condition.coding.systemShort description Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. 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.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.coding.versionShort description Version of the system - if relevant DefinitionThe 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. 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.
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code | Σ | 0..1 | code | Element idSpecimen.condition.coding.codeShort description Motivo del rifiuto del campione DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-1 Need to refer to a particular code in the system.
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display | Σ | 0..1 | string | Element idSpecimen.condition.coding.displayShort description Representation defined by the system DefinitionCorrispondente campo HL7 secondo specifiche regionali: SPM-21 CWE-2 Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idSpecimen.condition.coding.userSelectedShort description If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). 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. 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.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idSpecimen.condition.textShort description Plain text representation of the concept DefinitionA 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. 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. Very often the text is the same as a displayName of one of the codings.
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note | 0..* | Annotation | There are no (further) constraints on this element Element idSpecimen.noteShort description Comments DefinitionTo communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).
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Table View
Specimen | .. | |
Specimen.type | 1.. | |
Specimen.type.coding | .. | |
Specimen.type.coding.system | 1.. | |
Specimen.type.coding.code | 1.. | |
Specimen.type.coding.display | 1.. | |
Specimen.subject | Reference(ReteLabPatientCittadino) | .. |
Specimen.receivedTime | .. | |
Specimen.collection | .. | |
Specimen.collection.bodySite | .. | |
Specimen.collection.bodySite.coding | .. | |
Specimen.collection.bodySite.coding.system | .. | |
Specimen.collection.bodySite.coding.code | .. | |
Specimen.collection.bodySite.coding.display | .. | |
Specimen.processing | .. | |
Specimen.processing.procedure | .. | |
Specimen.processing.procedure.coding | .. | |
Specimen.processing.procedure.coding.system | .. | |
Specimen.processing.procedure.coding.code | .. | |
Specimen.processing.procedure.coding.display | .. | |
Specimen.container | .. | |
Specimen.container.identifier | .. | |
Specimen.container.identifier.system | .. | |
Specimen.container.identifier.value | .. | |
Specimen.condition | .. | |
Specimen.condition.coding | .. | |
Specimen.condition.coding.code | .. | |
Specimen.condition.coding.display | .. |
XML View
JSON View
ValueSet
Nella seguente tabella sono elencati i value set relativi al profilo ReteLabSpecimenCampioneLaboratorio:
Nome | Descrizione | Riferimento al dettaglio della codifica |
---|---|---|
processing.procedure | Codifica della procedura di conservazione, trattamento o altro del campione | La codifica è definita dal ValueSet Procedura di trattamento campione di laboratorio |
type | ValueSet relativo alla codifica della tipologia di materiale biologico | La codifica è definita dal ValueSet Tipologia di materiale biologico |