{ "resourceType": "StructureDefinition", "id": "Specimen", "meta": { "lastUpdated": "2025-05-02T11:23:06.73+00:00" }, "url": "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen", "version": "1.0.0", "name": "Specimen", "title": "Probe", "status": "draft", "experimental": false, "date": "2025-04-15", "publisher": "ARS@rki.de", "description": "Dieses Profil ermöglicht Angaben zur Probe.", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Specimen", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Specimen", "derivation": "constraint", "differential": { "element": [ { "id": "Specimen.id", "path": "Specimen.id", "min": 1, "mustSupport": true }, { "id": "Specimen.meta", "path": "Specimen.meta", "min": 1, "mustSupport": true }, { "id": "Specimen.meta.id", "path": "Specimen.meta.id", "max": "0" }, { "id": "Specimen.meta.extension", "path": "Specimen.meta.extension", "max": "0" }, { "id": "Specimen.meta.versionId", "path": "Specimen.meta.versionId", "max": "0" }, { "id": "Specimen.meta.lastUpdated", "path": "Specimen.meta.lastUpdated", "max": "0" }, { "id": "Specimen.meta.source", "path": "Specimen.meta.source", "max": "0" }, { "id": "Specimen.meta.profile", "path": "Specimen.meta.profile", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "closed" }, "min": 1, "mustSupport": true }, { "id": "Specimen.meta.profile:arsProfile", "path": "Specimen.meta.profile", "sliceName": "arsProfile", "min": 1, "max": "1", "patternCanonical": "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen", "mustSupport": true }, { "id": "Specimen.meta.security", "path": "Specimen.meta.security", "max": "0" }, { "id": "Specimen.meta.tag", "path": "Specimen.meta.tag", "max": "0" }, { "id": "Specimen.identifier", "path": "Specimen.identifier", "max": "0" }, { "id": "Specimen.accessionIdentifier", "path": "Specimen.accessionIdentifier", "short": "Probennummer", "definition": "Originalprobennummer aus dem Labor. Es ist der einzige Identifier, der unverändert aus dem Labor übernommen wird. Er dient zur Kommunikation mit dem Labor im Zuge des Datenqualitätsmanagement.", "min": 1, "mustSupport": true }, { "id": "Specimen.accessionIdentifier.use", "path": "Specimen.accessionIdentifier.use", "max": "0" }, { "id": "Specimen.accessionIdentifier.type", "path": "Specimen.accessionIdentifier.type", "max": "0" }, { "id": "Specimen.accessionIdentifier.system", "path": "Specimen.accessionIdentifier.system", "min": 1, "mustSupport": true }, { "id": "Specimen.accessionIdentifier.value", "path": "Specimen.accessionIdentifier.value", "min": 1, "mustSupport": true }, { "id": "Specimen.accessionIdentifier.period", "path": "Specimen.accessionIdentifier.period", "max": "0" }, { "id": "Specimen.accessionIdentifier.assigner", "path": "Specimen.accessionIdentifier.assigner", "max": "0" }, { "id": "Specimen.status", "path": "Specimen.status", "max": "0" }, { "id": "Specimen.type", "path": "Specimen.type", "short": "Probenmaterial", "definition": "Es wird über einen SNOMED-Code die Probe beschrieben, die im Labor ankommt. Siehe hierzu auch Kapitel 'Semantik' im Implementierungsleitfaden. Über das Feld Specimen.collection.bodySite kann die Probe hinsichtlich des Abnahmeortes weiter spezifiziert werden.", "min": 1, "mustSupport": true }, { "id": "Specimen.type.coding", "path": "Specimen.type.coding", "min": 1, "max": "1", "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/materialSNOMED" } }, { "id": "Specimen.type.coding.system", "path": "Specimen.type.coding.system", "min": 1, "mustSupport": true }, { "id": "Specimen.type.coding.version", "path": "Specimen.type.coding.version", "min": 1, "mustSupport": true }, { "id": "Specimen.type.coding.code", "path": "Specimen.type.coding.code", "min": 1, "mustSupport": true }, { "id": "Specimen.type.text", "path": "Specimen.type.text", "short": "Originalbezeichnung", "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.", "mustSupport": true }, { "id": "Specimen.subject", "path": "Specimen.subject", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Patient" ] } ], "mustSupport": true }, { "id": "Specimen.subject.reference", "path": "Specimen.subject.reference", "min": 1, "mustSupport": true }, { "id": "Specimen.subject.type", "path": "Specimen.subject.type", "max": "0" }, { "id": "Specimen.subject.identifier", "path": "Specimen.subject.identifier", "max": "0" }, { "id": "Specimen.subject.display", "path": "Specimen.subject.display", "max": "0" }, { "id": "Specimen.receivedTime", "path": "Specimen.receivedTime", "short": "Probeneingangsdatum", "definition": "Eingangsdatum der Probe im Labor.", "min": 1, "mustSupport": true }, { "id": "Specimen.parent", "path": "Specimen.parent", "max": "0" }, { "id": "Specimen.request", "path": "Specimen.request", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest" ] } ], "mustSupport": true }, { "id": "Specimen.request.reference", "path": "Specimen.request.reference", "min": 1, "mustSupport": true }, { "id": "Specimen.request.type", "path": "Specimen.request.type", "max": "0" }, { "id": "Specimen.request.identifier", "path": "Specimen.request.identifier", "max": "0" }, { "id": "Specimen.request.display", "path": "Specimen.request.display", "max": "0" }, { "id": "Specimen.collection", "path": "Specimen.collection", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.extension", "path": "Specimen.collection.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" }, "max": "1", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite", "path": "Specimen.collection.extension", "sliceName": "bodySite", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/bodySite" ] } ], "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.id", "path": "Specimen.collection.extension.id", "max": "0" }, { "id": "Specimen.collection.extension:bodySite.url", "path": "Specimen.collection.extension.url", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]", "path": "Specimen.collection.extension.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/BodyStructure" ] } ], "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference", "path": "Specimen.collection.extension.value[x]", "sliceName": "valueReference", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/BodyStructure" ] } ], "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.reference", "path": "Specimen.collection.extension.value[x].reference", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.type", "path": "Specimen.collection.extension.value[x].type", "max": "0" }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.identifier", "path": "Specimen.collection.extension.value[x].identifier", "max": "0" }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.display", "path": "Specimen.collection.extension.value[x].display", "max": "0" }, { "id": "Specimen.collection.collector", "path": "Specimen.collection.collector", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleInpatientOrganization", "https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleOutpatientOrganization" ] } ], "mustSupport": true }, { "id": "Specimen.collection.collector.reference", "path": "Specimen.collection.collector.reference", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.collector.type", "path": "Specimen.collection.collector.type", "max": "0" }, { "id": "Specimen.collection.collector.identifier", "path": "Specimen.collection.collector.identifier", "max": "0" }, { "id": "Specimen.collection.collector.display", "path": "Specimen.collection.collector.display", "max": "0" }, { "id": "Specimen.collection.collected[x]", "path": "Specimen.collection.collected[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "min": 1, "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedDateTime", "path": "Specimen.collection.collected[x]", "sliceName": "collectedDateTime", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod", "path": "Specimen.collection.collected[x]", "sliceName": "collectedPeriod", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod.start", "path": "Specimen.collection.collected[x].start", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod.end", "path": "Specimen.collection.collected[x].end", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.duration", "path": "Specimen.collection.duration", "max": "0" }, { "id": "Specimen.collection.quantity", "path": "Specimen.collection.quantity", "max": "0" }, { "id": "Specimen.collection.method", "path": "Specimen.collection.method", "max": "0" }, { "id": "Specimen.collection.bodySite", "path": "Specimen.collection.bodySite", "short": "Abnahmeort", "definition": "In Ergänzung zum Probenmaterial in Specimen.type kann die Probe hinsichtlich des Abnahmeortes weiter spezifiziert werden. Siehe hierzu auch Kapitel 'Semantik' im Implementierungsleitfaden.", "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding", "path": "Specimen.collection.bodySite.coding", "min": 1, "max": "1", "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/abnahmeortSNOMED" } }, { "id": "Specimen.collection.bodySite.coding.system", "path": "Specimen.collection.bodySite.coding.system", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding.version", "path": "Specimen.collection.bodySite.coding.version", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding.code", "path": "Specimen.collection.bodySite.coding.code", "min": 1, "mustSupport": true }, { "id": "Specimen.collection.bodySite.text", "path": "Specimen.collection.bodySite.text", "short": "Originalbezeichnung", "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.", "mustSupport": true }, { "id": "Specimen.collection.fastingStatus[x]", "path": "Specimen.collection.fastingStatus[x]", "max": "0" }, { "id": "Specimen.processing", "path": "Specimen.processing", "max": "0" }, { "id": "Specimen.container", "path": "Specimen.container", "max": "0" }, { "id": "Specimen.condition", "path": "Specimen.condition", "max": "0" }, { "id": "Specimen.note", "path": "Specimen.note", "max": "0" } ] } }