IG OMr - Rete di Laboratori v1.1.0

ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette

ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette
- Descrizione
- ValueSet

Descrizione

Il profilo ReteLabSpecimenCampioneLaboratorio è stato strutturato a partire dalla risorsa generica FHIR Specimen utilizzata per descrivere i campioni che verranno analizzati.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette.

Snapshot View

Specimen	I		Specimen	Element Id Specimen Short description Descrive i campioni che verranno analizzati Definition Risorsa utilizzata per descrivere la tipologia di campioni che verranno prelevati per l'analisi delle prestazioni in service, con annesse istruzioni per la stampa delle etichette su ciascun campione. Comments Segmento HL7 secondo specifiche regionali: SPM Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr", "Inoltro Risposta accettazione richiesta da OMr a LR" Data Type Specimen Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act rim:Role[classCode=SPEC]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Specimen.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istruzioniEtichette	I	0..*	Extension(Complex)	Element Id Specimen.extension:istruzioniEtichette Short description Etichetta Provette Alternate names extensions, user content Definition Istruzioni per la stampa delle etichette Comments 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. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenIstruzioniEtichette Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
etichettaPDF	I	0..*	Extension(Reference())	Element Id Specimen.extension:etichettaPDF Short description Da utilizzare per inserire l'allegato pdf dell'etichetta. Alternate names extensions, user content Definition Corrispondente secondo specifiche HL7 regionali a ZBX-3. Comments 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. Data Type Extension(Reference()) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueReference			Reference(ReteLabBinaryDocumento)	Data Type Reference(ReteLabBinaryDocumento)
identifier	Σ	1..*	Identifier	Element Id Specimen.identifier Short description Identificativo del campione Definition È composto dalla coppia di componenti: “Placer ID” e “Filler ID”. L’uno o l’altro componente possono essere specificati a seconda del contesto. Il campo va utilizzato solo se l’organizzazione del LIS prevede l’identificazione a livello di singolo campione. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-2 (il campo SPM-2 conterrà due valori separati dal carattere ^ uno per indicare il PlacerOrderNumber e l'altro per il FillerOrderNumber) Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
PlacerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:PlacerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:PlacerOrderNumber.value Short description Identificativo univoco generato dal Placer dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
accessionIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id Specimen.accessionIdentifier Short description Identifier assigned by the lab Definition The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-30 (v2.7+) rim:.participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id
status	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.status Short description available \| unavailable \| unsatisfactory \| entered-in-error Definition The availability of the specimen. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Codes providing the status/availability of a specimen. SpecimenStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:SPM-20 rim:status
type	Σ	0..1	CodeableConcept	Element Id Specimen.type Short description Tipologia del campione o identificativo del materiale biologico Definition Corrispondente al campo HL7 SPM-4. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 Data Type CodeableConcept Binding The type of the specimen. v2.0487 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:SPM-4 and possibly SPM-5 rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.type.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.type.coding.code Short description Codice del campione Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.type.coding.display Short description Descrizione Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	0..1	Reference(ReteLabPatientCittadino)	Element Id Specimen.subject Short description Paziente di riferimento Definition Reference al profilo ReteLabPatientCittadino Requirements Must know the subject context. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.scoper or .scoper.playsRole w5:FiveWs.subject
receivedTime	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id Specimen.receivedTime Short description The time when specimen was received for processing Definition Time when specimen was received for processing or testing. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x] v2:SPM-18 rim:.participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime
parent	I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id Specimen.parent Short description Specimen from which this specimen originated Definition Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. Comments 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. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)
request	I	0..*	Reference(ServiceRequest)	There are no (further) constraints on this element Element Id Specimen.request Short description Why the specimen was collected Definition Details concerning a service request that required a specimen to be collected. Comments The request may be explicit or implied such with a ServiceRequest that requires a blood draw. Data Type Reference(ServiceRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] v2:ORC? OBR-2/3? rim:outboundRelationship[typeCode=FLFS].target
collection		0..1	BackboneElement	There are no (further) constraints on this element Element Id Specimen.collection Short description Collection details Definition Details concerning the specimen collection. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SPM-14 rim:.participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]
collector	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id Specimen.collection.collector Short description Who collected the specimen Definition Person who collected the specimen. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PFM].role
collected[x]	Σ	0..1		There are no (further) constraints on this element Element Id Specimen.collection.collected[x] Short description Collection time Definition Time when specimen was collected from subject - the physiologically relevant time. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.init v2:SPM-17 rim:.effectiveTime
collectedDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
collectedPeriod			Period	There are no (further) constraints on this element Data Type Period
duration	Σ I	0..1	Duration	There are no (further) constraints on this element Element Id Specimen.collection.duration Short description How long it took to collect specimen Definition The span of time over which the collection of a specimen occurred. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values w5:FiveWs.init
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.collection.quantity Short description The quantity of specimen collected Definition The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SPM-12 rim:.participation[typeCode=SBJ].role[classCode=SPEC].player.quantity
method		0..1	CodeableConcept	There are no (further) constraints on this element Element Id Specimen.collection.method Short description Technique used to perform collection Definition A coded value specifying the technique that is used to perform the procedure. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-7 rim:.methodCode
bodySite		0..1	CodeableConcept	Element Id Specimen.collection.bodySite Short description Sede anatomica di prelievo Definition Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-8 and SPM-9 rim:.targetSiteCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.collection.bodySite.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.collection.bodySite.coding.code Short description Codice sede anatomica di prelievo Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.collection.bodySite.coding.display Short description Descrizione sede anatomica di prelievo Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
fastingStatus[x]	Σ	0..1	Binding	There are no (further) constraints on this element Element Id Specimen.collection.fastingStatus[x] Short description Whether or how long patient abstained from food and/or drink Definition Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Requirements Many diagnostic tests require fasting to facilitate accurate interpretation. Comments Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation `such as`Observation.component code` = LOINC 49541-6 (Fasting status - Reported). Binding Codes describing the fasting status of the patient. v2.0916 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:OBR-
fastingStatusCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
fastingStatusDuration			Duration	There are no (further) constraints on this element Data Type Duration
processing		0..*	BackboneElement	Element Id Specimen.processing Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) Definition Details concerning processing and processing steps for the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.description Short description Textual description of procedure Definition Textual description of procedure. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
procedure		0..1	CodeableConcept	Element Id Specimen.processing.procedure Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). Definition A coded value specifying the procedure used to process the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type CodeableConcept Binding Type indicating the technique used to process the specimen. SpecimenProcessingProcedure (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.processing.procedure.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.processing.procedure.coding.code Short description Codice della procedura da seguire per trattare il campione o il contenitore (trasportato, conservato). Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.processing.procedure.coding.display Short description Descrizione della procedura Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
additive	I	0..*	Reference(Substance)	There are no (further) constraints on this element Element Id Specimen.processing.additive Short description Material used in the processing step Definition Material used in the processing step. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Substance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM-6 rim:.participation[typeCode=CSM].role[classCode=ADTV].code
time[x]		0..1		There are no (further) constraints on this element Element Id Specimen.processing.time[x] Short description Date and time of specimen processing Definition A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
timeDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
timePeriod			Period	There are no (further) constraints on this element Data Type Period
container		0..*	BackboneElement	Element Id Specimen.container Short description Contenitore del campione. Definition Il campo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.player.scopingRole[classCode=CONT].scoper
identifier	Σ	0..*	Identifier	Element Id Specimen.container.identifier Short description Id for the container Definition Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35. Corrispondente al campo HL7 SAC-3. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier v2:SAC-3 rim:.id
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.container.description Short description Textual description of the container Definition Textual description of the container. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.desc
type		0..1	CodeableConcept	Element Id Specimen.container.type Short description Tipo di provetta Definition Corrispondente al campo HL7 SPM-27.2. L'attributo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Type of specimen container. SpecimenContainerType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-27 rim:.code
capacity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.capacity Short description Container volume or size Definition The capacity (volume or other measure) the container may contain. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20 rim:.quantity
specimenQuantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.specimenQuantity Short description Quantity of specimen within container Definition The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SAC-23 (value) SAC-24 (units rim:.playedRole[classCode=CONT].quantity
additive[x]		0..1		There are no (further) constraints on this element Element Id Specimen.container.additive[x] Short description Additive associated with container Definition Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Binding Substance added to specimen container. v2.0371 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SAC-27 rim:.scopesRole[classCode=ADTV].player
additiveCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
additiveReference			Reference(Substance)	There are no (further) constraints on this element Data Type Reference(Substance)
condition	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.condition Short description State of the specimen Definition A mode or state of being that describes the nature of the specimen. Requirements The specimen condition can be used to assess its quality or appropriateness for a specific test. Comments Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test. Data Type CodeableConcept Binding Codes describing the state of the specimen. v2.0493 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-24
note		0..*	Annotation	Element Id Specimen.note Short description Note riguardanti il campione, relative ad esempio a trasporto o conservazione del campione. Definition Corrispondente al campo HL7 SPM-14. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:OBX rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Differential View

Specimen	I		Specimen	Element Id Specimen Short description Descrive i campioni che verranno analizzati Definition Risorsa utilizzata per descrivere la tipologia di campioni che verranno prelevati per l'analisi delle prestazioni in service, con annesse istruzioni per la stampa delle etichette su ciascun campione. Comments Segmento HL7 secondo specifiche regionali: SPM Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr", "Inoltro Risposta accettazione richiesta da OMr a LR" Data Type Specimen Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act rim:Role[classCode=SPEC]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Specimen.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istruzioniEtichette	I	0..*	Extension(Complex)	Element Id Specimen.extension:istruzioniEtichette Short description Etichetta Provette Alternate names extensions, user content Definition Istruzioni per la stampa delle etichette Comments 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. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenIstruzioniEtichette Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
etichettaPDF	I	0..*	Extension(Reference())	Element Id Specimen.extension:etichettaPDF Short description Da utilizzare per inserire l'allegato pdf dell'etichetta. Alternate names extensions, user content Definition Corrispondente secondo specifiche HL7 regionali a ZBX-3. Comments 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. Data Type Extension(Reference()) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueReference			Reference(ReteLabBinaryDocumento)	Data Type Reference(ReteLabBinaryDocumento)
identifier	Σ	1..*	Identifier	Element Id Specimen.identifier Short description Identificativo del campione Definition È composto dalla coppia di componenti: “Placer ID” e “Filler ID”. L’uno o l’altro componente possono essere specificati a seconda del contesto. Il campo va utilizzato solo se l’organizzazione del LIS prevede l’identificazione a livello di singolo campione. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-2 (il campo SPM-2 conterrà due valori separati dal carattere ^ uno per indicare il PlacerOrderNumber e l'altro per il FillerOrderNumber) Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
PlacerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:PlacerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:PlacerOrderNumber.value Short description Identificativo univoco generato dal Placer dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
accessionIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id Specimen.accessionIdentifier Short description Identifier assigned by the lab Definition The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-30 (v2.7+) rim:.participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id
status	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.status Short description available \| unavailable \| unsatisfactory \| entered-in-error Definition The availability of the specimen. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Codes providing the status/availability of a specimen. SpecimenStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:SPM-20 rim:status
type	Σ	0..1	CodeableConcept	Element Id Specimen.type Short description Tipologia del campione o identificativo del materiale biologico Definition Corrispondente al campo HL7 SPM-4. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 Data Type CodeableConcept Binding The type of the specimen. v2.0487 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:SPM-4 and possibly SPM-5 rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.type.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.type.coding.code Short description Codice del campione Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.type.coding.display Short description Descrizione Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	0..1	Reference(ReteLabPatientCittadino)	Element Id Specimen.subject Short description Paziente di riferimento Definition Reference al profilo ReteLabPatientCittadino Requirements Must know the subject context. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.scoper or .scoper.playsRole w5:FiveWs.subject
receivedTime	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id Specimen.receivedTime Short description The time when specimen was received for processing Definition Time when specimen was received for processing or testing. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x] v2:SPM-18 rim:.participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime
parent	I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id Specimen.parent Short description Specimen from which this specimen originated Definition Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. Comments 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. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)
request	I	0..*	Reference(ServiceRequest)	There are no (further) constraints on this element Element Id Specimen.request Short description Why the specimen was collected Definition Details concerning a service request that required a specimen to be collected. Comments The request may be explicit or implied such with a ServiceRequest that requires a blood draw. Data Type Reference(ServiceRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] v2:ORC? OBR-2/3? rim:outboundRelationship[typeCode=FLFS].target
collection		0..1	BackboneElement	There are no (further) constraints on this element Element Id Specimen.collection Short description Collection details Definition Details concerning the specimen collection. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SPM-14 rim:.participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]
collector	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id Specimen.collection.collector Short description Who collected the specimen Definition Person who collected the specimen. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PFM].role
collected[x]	Σ	0..1		There are no (further) constraints on this element Element Id Specimen.collection.collected[x] Short description Collection time Definition Time when specimen was collected from subject - the physiologically relevant time. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.init v2:SPM-17 rim:.effectiveTime
collectedDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
collectedPeriod			Period	There are no (further) constraints on this element Data Type Period
duration	Σ I	0..1	Duration	There are no (further) constraints on this element Element Id Specimen.collection.duration Short description How long it took to collect specimen Definition The span of time over which the collection of a specimen occurred. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values w5:FiveWs.init
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.collection.quantity Short description The quantity of specimen collected Definition The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SPM-12 rim:.participation[typeCode=SBJ].role[classCode=SPEC].player.quantity
method		0..1	CodeableConcept	There are no (further) constraints on this element Element Id Specimen.collection.method Short description Technique used to perform collection Definition A coded value specifying the technique that is used to perform the procedure. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-7 rim:.methodCode
bodySite		0..1	CodeableConcept	Element Id Specimen.collection.bodySite Short description Sede anatomica di prelievo Definition Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-8 and SPM-9 rim:.targetSiteCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.collection.bodySite.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.collection.bodySite.coding.code Short description Codice sede anatomica di prelievo Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.collection.bodySite.coding.display Short description Descrizione sede anatomica di prelievo Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
fastingStatus[x]	Σ	0..1	Binding	There are no (further) constraints on this element Element Id Specimen.collection.fastingStatus[x] Short description Whether or how long patient abstained from food and/or drink Definition Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Requirements Many diagnostic tests require fasting to facilitate accurate interpretation. Comments Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation `such as`Observation.component code` = LOINC 49541-6 (Fasting status - Reported). Binding Codes describing the fasting status of the patient. v2.0916 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:OBR-
fastingStatusCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
fastingStatusDuration			Duration	There are no (further) constraints on this element Data Type Duration
processing		0..*	BackboneElement	Element Id Specimen.processing Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) Definition Details concerning processing and processing steps for the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.description Short description Textual description of procedure Definition Textual description of procedure. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
procedure		0..1	CodeableConcept	Element Id Specimen.processing.procedure Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). Definition A coded value specifying the procedure used to process the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type CodeableConcept Binding Type indicating the technique used to process the specimen. SpecimenProcessingProcedure (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.processing.procedure.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.processing.procedure.coding.code Short description Codice della procedura da seguire per trattare il campione o il contenitore (trasportato, conservato). Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.processing.procedure.coding.display Short description Descrizione della procedura Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
additive	I	0..*	Reference(Substance)	There are no (further) constraints on this element Element Id Specimen.processing.additive Short description Material used in the processing step Definition Material used in the processing step. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Substance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM-6 rim:.participation[typeCode=CSM].role[classCode=ADTV].code
time[x]		0..1		There are no (further) constraints on this element Element Id Specimen.processing.time[x] Short description Date and time of specimen processing Definition A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
timeDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
timePeriod			Period	There are no (further) constraints on this element Data Type Period
container		0..*	BackboneElement	Element Id Specimen.container Short description Contenitore del campione. Definition Il campo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.player.scopingRole[classCode=CONT].scoper
identifier	Σ	0..*	Identifier	Element Id Specimen.container.identifier Short description Id for the container Definition Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35. Corrispondente al campo HL7 SAC-3. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier v2:SAC-3 rim:.id
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.container.description Short description Textual description of the container Definition Textual description of the container. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.desc
type		0..1	CodeableConcept	Element Id Specimen.container.type Short description Tipo di provetta Definition Corrispondente al campo HL7 SPM-27.2. L'attributo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Type of specimen container. SpecimenContainerType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-27 rim:.code
capacity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.capacity Short description Container volume or size Definition The capacity (volume or other measure) the container may contain. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20 rim:.quantity
specimenQuantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.specimenQuantity Short description Quantity of specimen within container Definition The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SAC-23 (value) SAC-24 (units rim:.playedRole[classCode=CONT].quantity
additive[x]		0..1		There are no (further) constraints on this element Element Id Specimen.container.additive[x] Short description Additive associated with container Definition Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Binding Substance added to specimen container. v2.0371 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SAC-27 rim:.scopesRole[classCode=ADTV].player
additiveCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
additiveReference			Reference(Substance)	There are no (further) constraints on this element Data Type Reference(Substance)
condition	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.condition Short description State of the specimen Definition A mode or state of being that describes the nature of the specimen. Requirements The specimen condition can be used to assess its quality or appropriateness for a specific test. Comments Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test. Data Type CodeableConcept Binding Codes describing the state of the specimen. v2.0493 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-24
note		0..*	Annotation	Element Id Specimen.note Short description Note riguardanti il campione, relative ad esempio a trasporto o conservazione del campione. Definition Corrispondente al campo HL7 SPM-14. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:OBX rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Hybrid View

Specimen	I		Specimen	Element Id Specimen Short description Descrive i campioni che verranno analizzati Definition Risorsa utilizzata per descrivere la tipologia di campioni che verranno prelevati per l'analisi delle prestazioni in service, con annesse istruzioni per la stampa delle etichette su ciascun campione. Comments Segmento HL7 secondo specifiche regionali: SPM Questo profilo può essere presente nei seguenti flussi: "Nuova Richiesta da LR a OMR", "Inoltro Nuova Richiesta da OMR a LS", "Risposta accettazione richiesta e istruzioni per etichette da LS a OMr", "Inoltro Risposta accettazione richiesta da OMr a LR" Data Type Specimen Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act rim:Role[classCode=SPEC]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Specimen.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
istruzioniEtichette	I	0..*	Extension(Complex)	Element Id Specimen.extension:istruzioniEtichette Short description Etichetta Provette Alternate names extensions, user content Definition Istruzioni per la stampa delle etichette Comments 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. Data Type Extension(Complex) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenIstruzioniEtichette Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
etichettaPDF	I	0..*	Extension(Reference())	Element Id Specimen.extension:etichettaPDF Short description Da utilizzare per inserire l'allegato pdf dell'etichetta. Alternate names extensions, user content Definition Corrispondente secondo specifiche HL7 regionali a ZBX-3. Comments 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. Data Type Extension(Reference()) Extension URL https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data Type System.String Fixed Value https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id Specimen.extension:etichettaPDF.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueReference			Reference(ReteLabBinaryDocumento)	Data Type Reference(ReteLabBinaryDocumento)
identifier	Σ	1..*	Identifier	Element Id Specimen.identifier Short description Identificativo del campione Definition È composto dalla coppia di componenti: “Placer ID” e “Filler ID”. L’uno o l’altro componente possono essere specificati a seconda del contesto. Il campo va utilizzato solo se l’organizzazione del LIS prevede l’identificazione a livello di singolo campione. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-2 (il campo SPM-2 conterrà due valori separati dal carattere ^ uno per indicare il PlacerOrderNumber e l'altro per il FillerOrderNumber) Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
PlacerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:PlacerOrderNumber Short description Identificativo univoco generato dal Placer dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:PlacerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:PlacerOrderNumber.value Short description Identificativo univoco generato dal Placer dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:PlacerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
FillerOrderNumber	Σ	0..*	Identifier	Element Id Specimen.identifier:FillerOrderNumber Short description Identificativo univoco generato dal Filler dell'ordine Definition Id for specimen. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-2 rim:.id
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	Σ	0..1	uriFixed Value	Element Id Specimen.identifier:FillerOrderNumber.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	Σ	0..1	string	Element Id Specimen.identifier:FillerOrderNumber.value Short description Identificativo univoco generato dal Filler dell'ordine Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id Specimen.identifier:FillerOrderNumber.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
accessionIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id Specimen.accessionIdentifier Short description Identifier assigned by the lab Definition The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier v2:SPM-30 (v2.7+) rim:.participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id
status	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id Specimen.status Short description available \| unavailable \| unsatisfactory \| entered-in-error Definition The availability of the specimen. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding Codes providing the status/availability of a specimen. SpecimenStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status v2:SPM-20 rim:status
type	Σ	0..1	CodeableConcept	Element Id Specimen.type Short description Tipologia del campione o identificativo del materiale biologico Definition Corrispondente al campo HL7 SPM-4. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 Data Type CodeableConcept Binding The type of the specimen. v2.0487 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:SPM-4 and possibly SPM-5 rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.type.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.type.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.type.coding.code Short description Codice del campione Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.type.coding.display Short description Descrizione Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.type.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.type.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	0..1	Reference(ReteLabPatientCittadino)	Element Id Specimen.subject Short description Paziente di riferimento Definition Reference al profilo ReteLabPatientCittadino Requirements Must know the subject context. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ReteLabPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] rim:.scoper or .scoper.playsRole w5:FiveWs.subject
receivedTime	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id Specimen.receivedTime Short description The time when specimen was received for processing Definition Time when specimen was received for processing or testing. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x] v2:SPM-18 rim:.participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime
parent	I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element Id Specimen.parent Short description Specimen from which this specimen originated Definition Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. Comments 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. Data Type Reference(Specimen) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)
request	I	0..*	Reference(ServiceRequest)	There are no (further) constraints on this element Element Id Specimen.request Short description Why the specimen was collected Definition Details concerning a service request that required a specimen to be collected. Comments The request may be explicit or implied such with a ServiceRequest that requires a blood draw. Data Type Reference(ServiceRequest) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] v2:ORC? OBR-2/3? rim:outboundRelationship[typeCode=FLFS].target
collection		0..1	BackboneElement	There are no (further) constraints on this element Element Id Specimen.collection Short description Collection details Definition Details concerning the specimen collection. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SPM-14 rim:.participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]
collector	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id Specimen.collection.collector Short description Who collected the specimen Definition Person who collected the specimen. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:PRT rim:.participation[typeCode=PFM].role
collected[x]	Σ	0..1		There are no (further) constraints on this element Element Id Specimen.collection.collected[x] Short description Collection time Definition Time when specimen was collected from subject - the physiologically relevant time. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.init v2:SPM-17 rim:.effectiveTime
collectedDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
collectedPeriod			Period	There are no (further) constraints on this element Data Type Period
duration	Σ I	0..1	Duration	There are no (further) constraints on this element Element Id Specimen.collection.duration Short description How long it took to collect specimen Definition The span of time over which the collection of a specimen occurred. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values w5:FiveWs.init
quantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.collection.quantity Short description The quantity of specimen collected Definition The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SPM-12 rim:.participation[typeCode=SBJ].role[classCode=SPEC].player.quantity
method		0..1	CodeableConcept	There are no (further) constraints on this element Element Id Specimen.collection.method Short description Technique used to perform collection Definition A coded value specifying the technique that is used to perform the procedure. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding The technique that is used to perform the procedure. FHIRSpecimenCollectionMethod (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-7 rim:.methodCode
bodySite		0..1	CodeableConcept	Element Id Specimen.collection.bodySite Short description Sede anatomica di prelievo Definition Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8 Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-8 and SPM-9 rim:.targetSiteCode
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.collection.bodySite.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.collection.bodySite.coding.code Short description Codice sede anatomica di prelievo Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.collection.bodySite.coding.display Short description Descrizione sede anatomica di prelievo Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.collection.bodySite.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
fastingStatus[x]	Σ	0..1	Binding	There are no (further) constraints on this element Element Id Specimen.collection.fastingStatus[x] Short description Whether or how long patient abstained from food and/or drink Definition Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. Requirements Many diagnostic tests require fasting to facilitate accurate interpretation. Comments Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code' such as LOINC 2005-7 (Calcium [Moles/time] in 2 hour Urine --12 hours fasting), or using a component observation `such as`Observation.component code` = LOINC 49541-6 (Fasting status - Reported). Binding Codes describing the fasting status of the patient. v2.0916 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:OBR-
fastingStatusCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
fastingStatusDuration			Duration	There are no (further) constraints on this element Data Type Duration
processing		0..*	BackboneElement	Element Id Specimen.processing Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato) Definition Details concerning processing and processing steps for the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.description Short description Textual description of procedure Definition Textual description of procedure. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.text
procedure		0..1	CodeableConcept	Element Id Specimen.processing.procedure Short description Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato). Definition A coded value specifying the procedure used to process the specimen. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15 Data Type CodeableConcept Binding Type indicating the technique used to process the specimen. SpecimenProcessingProcedure (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.code
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	Element Id Specimen.processing.procedure.coding.system Short description Sistema di codifica Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3 Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element Id Specimen.processing.procedure.coding.code Short description Codice della procedura da seguire per trattare il campione o il contenitore (trasportato, conservato). Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Specimen.processing.procedure.coding.display Short description Descrizione della procedura Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Specimen.processing.procedure.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Specimen.processing.procedure.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
additive	I	0..*	Reference(Substance)	There are no (further) constraints on this element Element Id Specimen.processing.additive Short description Material used in the processing step Definition Material used in the processing step. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Substance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:SPM-6 rim:.participation[typeCode=CSM].role[classCode=ADTV].code
time[x]		0..1		There are no (further) constraints on this element Element Id Specimen.processing.time[x] Short description Date and time of specimen processing Definition A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.effectiveTime
timeDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
timePeriod			Period	There are no (further) constraints on this element Data Type Period
container		0..*	BackboneElement	Element Id Specimen.container Short description Contenitore del campione. Definition Il campo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.player.scopingRole[classCode=CONT].scoper
identifier	Σ	0..*	Identifier	Element Id Specimen.container.identifier Short description Id for the container Definition Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35. Corrispondente al campo HL7 SAC-3. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier v2:SAC-3 rim:.id
description		0..1	string	There are no (further) constraints on this element Element Id Specimen.container.description Short description Textual description of the container Definition Textual description of the container. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.desc
type		0..1	CodeableConcept	Element Id Specimen.container.type Short description Tipo di provetta Definition Corrispondente al campo HL7 SPM-27.2. L'attributo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di trasmissione delle etichette tramite pdf. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Type of specimen container. SpecimenContainerType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-27 rim:.code
capacity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.capacity Short description Container volume or size Definition The capacity (volume or other measure) the container may contain. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20 rim:.quantity
specimenQuantity	I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id Specimen.container.specimenQuantity Short description Quantity of specimen within container Definition The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:SAC-23 (value) SAC-24 (units rim:.playedRole[classCode=CONT].quantity
additive[x]		0..1		There are no (further) constraints on this element Element Id Specimen.container.additive[x] Short description Additive associated with container Definition Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. Binding Substance added to specimen container. v2.0371 (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SAC-27 rim:.scopesRole[classCode=ADTV].player
additiveCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
additiveReference			Reference(Substance)	There are no (further) constraints on this element Data Type Reference(Substance)
condition	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id Specimen.condition Short description State of the specimen Definition A mode or state of being that describes the nature of the specimen. Requirements The specimen condition can be used to assess its quality or appropriateness for a specific test. Comments Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test. Data Type CodeableConcept Binding Codes describing the state of the specimen. v2.0493 (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:SPM-24
note		0..*	Annotation	Element Id Specimen.note Short description Note riguardanti il campione, relative ad esempio a trasporto o conservazione del campione. Definition Corrispondente al campo HL7 SPM-14. L'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:OBX rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Table View

Specimen		..
Specimen.extension	Extension	..
Specimen.extension	Extension	..
Specimen.extension.value[x]	Reference(ReteLabBinaryDocumento)	..
Specimen.identifier		1..
Specimen.identifier		..
Specimen.identifier.system		..
Specimen.identifier.value		..
Specimen.identifier		..
Specimen.identifier.system		..
Specimen.identifier.value		..
Specimen.type		..
Specimen.type.coding		..
Specimen.type.coding.system		..
Specimen.type.coding.code		..
Specimen.type.coding.display		..
Specimen.subject	Reference(ReteLabPatientCittadino)	..
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.type		..
Specimen.note		..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette" />
    <name value="ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette" />
    <status value="retired" />
    <date value="2023-12-20T13:59:53.9873668+00:00" />
    <description value="Profilo che descrive i campioni che verranno analizzati." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Specimen" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Specimen" />
    <derivation value="constraint" />
    <differential>
        <element id="Specimen">
            <path value="Specimen" />
            <short value="Descrive i campioni che verranno analizzati" />
            <definition value="Risorsa utilizzata per descrivere la tipologia di campioni che verranno prelevati per l&#39;analisi delle prestazioni in service, con annesse istruzioni per la stampa delle etichette su ciascun campione." />
            <comment value="Segmento HL7 secondo specifiche regionali: SPM\nQuesto profilo pu&#242; essere presente nei seguenti flussi: &quot;Nuova Richiesta da LR a OMR&quot;, &quot;Inoltro Nuova Richiesta da OMR a LS&quot;, &quot;Risposta accettazione richiesta e istruzioni per etichette da LS a OMr&quot;, &quot;Inoltro Risposta accettazione richiesta da OMr a LR&quot;" />
        </element>
        <element id="Specimen.extension:istruzioniEtichette">
            <path value="Specimen.extension" />
            <sliceName value="istruzioniEtichette" />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenIstruzioniEtichette" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Specimen.extension:etichettaPDF">
            <path value="Specimen.extension" />
            <sliceName value="etichettaPDF" />
            <short value="Da utilizzare per inserire l&#39;allegato pdf dell&#39;etichetta." />
            <definition value="Corrispondente secondo specifiche HL7 regionali a ZBX-3." />
            <type>
                <code value="Extension" />
                <profile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF" />
            </type>
            <isModifier value="false" />
        </element>
        <element id="Specimen.extension:etichettaPDF.value[x]">
            <path value="Specimen.extension.value[x]" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabBinaryDocumentoPDFEncodedBase64" />
            </type>
        </element>
        <element id="Specimen.identifier">
            <path value="Specimen.identifier" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Identificativo del campione" />
            <definition value="&#200; composto dalla coppia di componenti: “Placer ID” e “Filler ID”. \nL’uno o l’altro componente possono essere specificati a seconda del contesto. \nIl campo va utilizzato solo se l’organizzazione del LIS prevede l’identificazione a livello di singolo campione." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-2\n(il campo SPM-2 conterr&#224; due valori separati dal carattere ^ uno per indicare il PlacerOrderNumber e l&#39;altro per il FillerOrderNumber)" />
            <min value="1" />
        </element>
        <element id="Specimen.identifier:PlacerOrderNumber">
            <path value="Specimen.identifier" />
            <sliceName value="PlacerOrderNumber" />
            <short value="Identificativo univoco generato dal Placer dell&#39;ordine" />
        </element>
        <element id="Specimen.identifier:PlacerOrderNumber.system">
            <path value="Specimen.identifier.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber" />
        </element>
        <element id="Specimen.identifier:PlacerOrderNumber.value">
            <path value="Specimen.identifier.value" />
            <short value="Identificativo univoco generato dal Placer dell&#39;ordine" />
        </element>
        <element id="Specimen.identifier:FillerOrderNumber">
            <path value="Specimen.identifier" />
            <sliceName value="FillerOrderNumber" />
            <short value="Identificativo univoco generato dal Filler dell&#39;ordine" />
        </element>
        <element id="Specimen.identifier:FillerOrderNumber.system">
            <path value="Specimen.identifier.system" />
            <fixedUri value="https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber" />
        </element>
        <element id="Specimen.identifier:FillerOrderNumber.value">
            <path value="Specimen.identifier.value" />
            <short value="Identificativo univoco generato dal Filler dell&#39;ordine" />
        </element>
        <element id="Specimen.type">
            <path value="Specimen.type" />
            <short value="Tipologia del campione o identificativo del materiale biologico" />
            <definition value="Corrispondente al campo HL7 SPM-4." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-4" />
        </element>
        <element id="Specimen.type.coding.system">
            <path value="Specimen.type.coding.system" />
            <short value="Sistema di codifica" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3" />
        </element>
        <element id="Specimen.type.coding.code">
            <path value="Specimen.type.coding.code" />
            <short value="Codice del campione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1" />
        </element>
        <element id="Specimen.type.coding.display">
            <path value="Specimen.type.coding.display" />
            <short value="Descrizione" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2" />
        </element>
        <element id="Specimen.subject">
            <path value="Specimen.subject" />
            <short value="Paziente di riferimento" />
            <definition value="Reference al profilo ReteLabPatientCittadino" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPatientCittadino" />
            </type>
        </element>
        <element id="Specimen.collection.bodySite">
            <path value="Specimen.collection.bodySite" />
            <short value="Sede anatomica di prelievo" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-8" />
        </element>
        <element id="Specimen.collection.bodySite.coding.system">
            <path value="Specimen.collection.bodySite.coding.system" />
            <short value="Sistema di codifica" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3" />
        </element>
        <element id="Specimen.collection.bodySite.coding.code">
            <path value="Specimen.collection.bodySite.coding.code" />
            <short value="Codice sede anatomica di prelievo" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1" />
        </element>
        <element id="Specimen.collection.bodySite.coding.display">
            <path value="Specimen.collection.bodySite.coding.display" />
            <short value="Descrizione sede anatomica di prelievo" />
        </element>
        <element id="Specimen.processing">
            <path value="Specimen.processing" />
            <short value="Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato)" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-15" />
        </element>
        <element id="Specimen.processing.procedure">
            <path value="Specimen.processing.procedure" />
            <short value="Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato)." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-15" />
        </element>
        <element id="Specimen.processing.procedure.coding.system">
            <path value="Specimen.processing.procedure.coding.system" />
            <short value="Sistema di codifica" />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3" />
        </element>
        <element id="Specimen.processing.procedure.coding.code">
            <path value="Specimen.processing.procedure.coding.code" />
            <short value="Codice della procedura da seguire per trattare il campione o il contenitore (trasportato, conservato)." />
            <comment value="Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1" />
        </element>
        <element id="Specimen.processing.procedure.coding.display">
            <path value="Specimen.processing.procedure.coding.display" />
            <short value="Descrizione della procedura" />
        </element>
        <element id="Specimen.container">
            <path value="Specimen.container" />
            <short value="Contenitore del campione." />
            <definition value="Il campo &#232; da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo &#232; nel caso di  trasmissione delle etichette tramite pdf." />
        </element>
        <element id="Specimen.container.identifier">
            <path value="Specimen.container.identifier" />
            <definition value="Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35. Corrispondente al campo HL7 SAC-3." />
        </element>
        <element id="Specimen.container.type">
            <path value="Specimen.container.type" />
            <short value="Tipo di provetta" />
            <definition value="Corrispondente al campo HL7 SPM-27.2. \nL&#39;attributo &#232; da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo &#232; nel caso di  trasmissione delle etichette tramite pdf." />
        </element>
        <element id="Specimen.note">
            <path value="Specimen.note" />
            <short value="Note riguardanti il campione, relative ad esempio a trasporto o conservazione del campione." />
            <definition value="Corrispondente al campo HL7 SPM-14.\nL&#39;attributo &#232; da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati." />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette",
    "name": "ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette",
    "status": "retired",
    "date": "2023-12-20T13:59:53.9873668+00:00",
    "description": "Profilo che descrive i campioni che verranno analizzati.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Specimen",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Specimen",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Specimen",
                "path": "Specimen",
                "short": "Descrive i campioni che verranno analizzati",
                "definition": "Risorsa utilizzata per descrivere la tipologia di campioni che verranno prelevati per l'analisi delle prestazioni in service, con annesse istruzioni per la stampa delle etichette su ciascun campione.",
                "comment": "Segmento HL7 secondo specifiche regionali: SPM\nQuesto profilo può essere presente nei seguenti flussi: \"Nuova Richiesta da LR a OMR\", \"Inoltro Nuova Richiesta da OMR a LS\", \"Risposta accettazione richiesta e istruzioni per etichette da LS a OMr\", \"Inoltro Risposta accettazione richiesta da OMr a LR\""
            },
            {
                "id": "Specimen.extension:istruzioniEtichette",
                "path": "Specimen.extension",
                "sliceName": "istruzioniEtichette",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenIstruzioniEtichette"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Specimen.extension:etichettaPDF",
                "path": "Specimen.extension",
                "sliceName": "etichettaPDF",
                "short": "Da utilizzare per inserire l'allegato pdf dell'etichetta.",
                "definition": "Corrispondente secondo specifiche HL7 regionali a ZBX-3.",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabSpecimenEtichettaPDF"
                        ]
                    }
                ],
                "isModifier": false
            },
            {
                "id": "Specimen.extension:etichettaPDF.value[x]",
                "path": "Specimen.extension.value[x]",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabBinaryDocumentoPDFEncodedBase64"
                        ]
                    }
                ]
            },
            {
                "id": "Specimen.identifier",
                "path": "Specimen.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Identificativo del campione",
                "definition": "È composto dalla coppia di componenti: “Placer ID” e “Filler ID”. \nL’uno o l’altro componente possono essere specificati a seconda del contesto. \nIl campo va utilizzato solo se l’organizzazione del LIS prevede l’identificazione a livello di singolo campione.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-2\n(il campo SPM-2 conterrà due valori separati dal carattere ^ uno per indicare il PlacerOrderNumber e l'altro per il FillerOrderNumber)",
                "min": 1
            },
            {
                "id": "Specimen.identifier:PlacerOrderNumber",
                "path": "Specimen.identifier",
                "sliceName": "PlacerOrderNumber",
                "short": "Identificativo univoco generato dal Placer dell'ordine"
            },
            {
                "id": "Specimen.identifier:PlacerOrderNumber.system",
                "path": "Specimen.identifier.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/PlacerOrderNumber"
            },
            {
                "id": "Specimen.identifier:PlacerOrderNumber.value",
                "path": "Specimen.identifier.value",
                "short": "Identificativo univoco generato dal Placer dell'ordine"
            },
            {
                "id": "Specimen.identifier:FillerOrderNumber",
                "path": "Specimen.identifier",
                "sliceName": "FillerOrderNumber",
                "short": "Identificativo univoco generato dal Filler dell'ordine"
            },
            {
                "id": "Specimen.identifier:FillerOrderNumber.system",
                "path": "Specimen.identifier.system",
                "fixedUri": "https://fhir.siss.regione.lombardia.it/sid/FillerOrderNumber"
            },
            {
                "id": "Specimen.identifier:FillerOrderNumber.value",
                "path": "Specimen.identifier.value",
                "short": "Identificativo univoco generato dal Filler dell'ordine"
            },
            {
                "id": "Specimen.type",
                "path": "Specimen.type",
                "short": "Tipologia del campione o identificativo del materiale biologico",
                "definition": "Corrispondente al campo HL7 SPM-4.",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-4"
            },
            {
                "id": "Specimen.type.coding.system",
                "path": "Specimen.type.coding.system",
                "short": "Sistema di codifica",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-3"
            },
            {
                "id": "Specimen.type.coding.code",
                "path": "Specimen.type.coding.code",
                "short": "Codice del campione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-1"
            },
            {
                "id": "Specimen.type.coding.display",
                "path": "Specimen.type.coding.display",
                "short": "Descrizione",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-4 CWE-2"
            },
            {
                "id": "Specimen.subject",
                "path": "Specimen.subject",
                "short": "Paziente di riferimento",
                "definition": "Reference al profilo ReteLabPatientCittadino",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/ReteLabPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "Specimen.collection.bodySite",
                "path": "Specimen.collection.bodySite",
                "short": "Sede anatomica di prelievo",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-8"
            },
            {
                "id": "Specimen.collection.bodySite.coding.system",
                "path": "Specimen.collection.bodySite.coding.system",
                "short": "Sistema di codifica",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-8.3"
            },
            {
                "id": "Specimen.collection.bodySite.coding.code",
                "path": "Specimen.collection.bodySite.coding.code",
                "short": "Codice sede anatomica di prelievo",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-8.1"
            },
            {
                "id": "Specimen.collection.bodySite.coding.display",
                "path": "Specimen.collection.bodySite.coding.display",
                "short": "Descrizione sede anatomica di prelievo"
            },
            {
                "id": "Specimen.processing",
                "path": "Specimen.processing",
                "short": "Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato)",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-15"
            },
            {
                "id": "Specimen.processing.procedure",
                "path": "Specimen.processing.procedure",
                "short": "Indica come il campione o il contenitore deve essere trattato (maneggiato, conservato).",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-15"
            },
            {
                "id": "Specimen.processing.procedure.coding.system",
                "path": "Specimen.processing.procedure.coding.system",
                "short": "Sistema di codifica",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-15.3"
            },
            {
                "id": "Specimen.processing.procedure.coding.code",
                "path": "Specimen.processing.procedure.coding.code",
                "short": "Codice della procedura da seguire per trattare il campione o il contenitore (trasportato, conservato).",
                "comment": "Corrispondente campo HL7 secondo specifiche regionali: SPM-15.1"
            },
            {
                "id": "Specimen.processing.procedure.coding.display",
                "path": "Specimen.processing.procedure.coding.display",
                "short": "Descrizione della procedura"
            },
            {
                "id": "Specimen.container",
                "path": "Specimen.container",
                "short": "Contenitore del campione.",
                "definition": "Il campo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di  trasmissione delle etichette tramite pdf."
            },
            {
                "id": "Specimen.container.identifier",
                "path": "Specimen.container.identifier",
                "definition": "Obbligatorio per messaggi con MessageHeader.eventCoding.code uguale a OML^O35. Corrispondente al campo HL7 SAC-3."
            },
            {
                "id": "Specimen.container.type",
                "path": "Specimen.container.type",
                "short": "Tipo di provetta",
                "definition": "Corrispondente al campo HL7 SPM-27.2. \nL'attributo è da considerarsi obbligatorio nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati; non lo è nel caso di  trasmissione delle etichette tramite pdf."
            },
            {
                "id": "Specimen.note",
                "path": "Specimen.note",
                "short": "Note riguardanti il campione, relative ad esempio a trasporto o conservazione del campione.",
                "definition": "Corrispondente al campo HL7 SPM-14.\nL'attributo è da considerarsi facoltativo nel flusso di risposta nuova richiesta in caso di accettazione della prestazione in service e comunicazione delle etichette tramite dati strutturati."
            }
        ]
    }
}

Esempi

Con etichetta pdf: Blood specimen (specimen)
Con etichetta strutturata: Sangue

ValueSet

Attualmente non sono definiti value set specifici per il profilo ReteLabSpecimenCampioneDaPrelevareIstruzioniEtichette.