MII-Initiative

Medizininformatik Initiative - Implementation Guide - Bioprobendaten v2026

Specimen (Bioprobe)

Mittels eines Specimen wird eine Bioprobe abgebildet.

Hinweis: In vielen Kontexten haben die Begriffe Specimen und Sample differenzierte Bedeutungen. Sowohl FHIR als auch SNOMED CT sprechen i.d.R. von Specimen und kennen diese Differenzierung nicht, sie spielt daher im Rahmen der Vorgaben des Modules keine Rolle.

NameStatusVersionCanonicalBasis
MII_PR_Biobank_Specimen_Bioprobeactive2026.0.0https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Specimenhttps://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore

Inhalt

idS Σ0..1string
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
featureC0..*Extension(Complex)
probenebeneS C0..*Extension(Coding)
festgestellteDiagnoseS C0..1Extension(Reference(Condition))
gehoertZuS C0..1Extension(Reference(MII_PR_Biobank_Organization_Sammlung_Biobank))
anzahlAliquotsS C0..1Extension(integer)
modifierExtension?! C0..*Extension
identifierS Σ0..*Identifier
accessionIdentifierΣ0..1Identifier
statusS Σ ?!1..1codeBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemΣ0..1uriPattern
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ C1..1Reference(Patient)
receivedTimeS Σ0..1dateTime
parentS C0..*Reference(Specimen)
requestS C0..*Reference(ServiceRequest)
id0..1string
einstellungBlutversorgungS C0..1Extension(dateTime)
modifierExtensionΣ ?! C0..*Extension
collectorΣ C0..1Reference(Practitioner | PractitionerRole)
collectedDateTimedateTime
collectedPeriodPeriod
durationΣ C0..1Duration
id0..1string
pqTranslationC0..*Extension(Quantity)
quantityPrecisionC0..1Extension(integer)
valueS Σ1..1decimal
comparatorΣ ?!0..0codeBinding
unitS Σ1..1string
systemS Σ C1..1uriPattern
codeS Σ1..1code
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemΣ0..1uriPattern
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemΣ0..1uriPattern
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
fastingStatusDurationDuration
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
temperaturbedingungenS C1..1Extension(Range)
temperature-miabisS C0..1Extension(CodeableConcept)
modifierExtensionΣ ?! C0..*Extension
description0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionC0..*Extension
systemΣ0..1uriPattern
versionΣ0..1string
codeΣ0..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
additiveS C0..*Reference(MII_PR_Biobank_Substance_Additiv)
timeDateTimedateTime
id0..1string
extensionC0..*Extension
startS Σ C0..1dateTime
endS Σ C0..1dateTime
id0..1string
temperaturbedingungenS C1..1Extension(Range)
modifierExtensionΣ ?! C0..*Extension
description0..1string
procedure1..1CodeableConceptPattern
additiveC0..*Reference(Substance)
id0..1string
extensionC0..*Extension
startΣ C1..1dateTime
endΣ C0..1dateTime
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
identifierΣ0..*Identifier
description0..1string
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionC0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..0codeBinding
unitS Σ1..1string
systemS Σ C1..1uriPattern
codeS Σ1..1code
id0..1string
extensionC0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..0codeBinding
unitS Σ1..1string
systemS Σ C1..1uriPattern
codeS Σ1..1code
additiveCodeableConceptCodeableConcept
additiveReference0..1Reference(MII_PR_Biobank_Substance_Additiv)
conditionΣ0..*CodeableConceptBinding
noteS0..*Annotation

Abbildung einer MII Bioprobe

FeldnameKurzbeschreibung
Specimen.extension:festgestellteDiagnose
Specimen.extension:gehoertZu
Specimen.extension:anzahlAliquots
Specimen.type.coding:miabis-type
Specimen.collection.method
Specimen.collection.method.coding
Specimen.collection.method.coding.system
Specimen.collection.method.coding.code
Specimen.processing.extension:temperature-miabis
Specimen.container.type.coding
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-pr-biobank-specimen" />
<extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<system value="http://hl7.org/fhir/spdx-license" />
<code value="CC-BY-4.0" />
<display value="Creative Commons Attribution 4.0 International" />
</coding>
</valueCodeableConcept>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Specimen" />
<version value="2026.0.0" />
<name value="MII_PR_Biobank_Specimen_Bioprobe">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII_PR_Biobank_Specimen_Bioprobe" />
</extension>
</extension>
</name>
<title value="MII PR Biobank Specimen Bioprobe">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Specimen Bioprobe" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen Bioprobe" />
</extension>
</extension>
</title>
<status value="active" />
<date value="2025-09-02" />
<publisher value="Medizininformatik Initiative" />
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Abbildung einer MII Bioprobe">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Abbildung einer MII Bioprobe" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Representation of a MII bioprobe" />
</extension>
</extension>
</description>
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="Specimen" />
<baseDefinition value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore" />
<derivation value="constraint" />
<element id="Specimen">
<path value="Specimen" />
<short value="Sample for analysis" />
<definition value="A sample to be used for analysis." />
<min value="0" />
<max value="*" />
<path value="Specimen" />
<min value="0" />
<max value="*" />
</base>
<key value="dom-2" />
<severity value="error" />
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
<expression value="contained.contained.empty()" />
<xpath value="not(parent::f:contained and f:contained)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<key value="dom-4" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<key value="dom-3" />
<severity value="error" />
<human value="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" />
<expression value="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()" />
<xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
<valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
</extension>
<key value="dom-6" />
<severity value="warning" />
<human value="A resource should have narrative for robust management" />
<expression value="text.`div`.exists()" />
<xpath value="exists(f:text/h:div)" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<key value="dom-5" />
<severity value="error" />
<human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
<expression value="contained.meta.security.empty()" />
<xpath value="not(exists(f:contained/*/f:meta/f:security))" />
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
</constraint>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<identity value="rim" />
<map value="Role[classCode=SPEC]" />
</mapping>
</element>
<element id="Specimen.id">
<path value="Specimen.id" />
<short value="Logical id of this artifact" />
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
<min value="0" />
<max value="1" />
<path value="Resource.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mustSupport value="true" />
<isSummary value="true" />
</element>
<element id="Specimen.meta">
<path value="Specimen.meta" />
<short value="Metadata about the resource" />
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." />
<min value="0" />
<max value="1" />
<path value="Resource.meta" />
<min value="0" />
<max value="1" />
</base>
<code value="Meta" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.meta.id">
<path value="Specimen.meta.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.meta.extension">
<path value="Specimen.meta.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.meta.versionId">
<path value="Specimen.meta.versionId" />
<short value="Version specific identifier" />
<definition value="The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." />
<comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." />
<min value="0" />
<max value="1" />
<path value="Meta.versionId" />
<min value="0" />
<max value="1" />
</base>
<code value="id" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.meta.lastUpdated">
<path value="Specimen.meta.lastUpdated" />
<short value="When the resource version last changed" />
<definition value="When the resource last changed - e.g. when the version changed." />
<comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction." />
<min value="0" />
<max value="1" />
<path value="Meta.lastUpdated" />
<min value="0" />
<max value="1" />
</base>
<code value="instant" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.meta.source">
<path value="Specimen.meta.source" />
<short value="Identifies where the resource comes from" />
<definition value="A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." />
<comment value="In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." />
<min value="0" />
<max value="1" />
<path value="Meta.source" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.meta.profile">
<path value="Specimen.meta.profile" />
<short value="Profiles this resource claims to conform to" />
<definition value="A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url)." />
<comment value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." />
<min value="0" />
<max value="*" />
<path value="Meta.profile" />
<min value="0" />
<max value="*" />
</base>
<code value="canonical" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/StructureDefinition" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.meta.security">
<path value="Specimen.meta.security" />
<short value="Security Labels applied to this resource" />
<definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." />
<comment value="The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." />
<min value="0" />
<max value="*" />
<path value="Meta.security" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SecurityLabels" />
</extension>
<strength value="extensible" />
<description value="Security Labels from the Healthcare Privacy and Security Classification System." />
<valueSet value="http://hl7.org/fhir/ValueSet/security-labels" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
</element>
<element id="Specimen.meta.tag">
<path value="Specimen.meta.tag" />
<short value="Tags applied to this resource" />
<definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." />
<comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." />
<min value="0" />
<max value="*" />
<path value="Meta.tag" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Tags" />
</extension>
<strength value="example" />
<description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"." />
<valueSet value="http://hl7.org/fhir/ValueSet/common-tags" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
</element>
<element id="Specimen.implicitRules">
<path value="Specimen.implicitRules" />
<short value="A set of rules under which this content was created" />
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." />
<comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." />
<min value="0" />
<max value="1" />
<path value="Resource.implicitRules" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.language">
<path value="Specimen.language" />
<short value="Language of the resource content" />
<definition value="The base language in which the resource is written." />
<comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." />
<min value="0" />
<max value="1" />
<path value="Resource.language" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language" />
</extension>
<strength value="preferred" />
<description value="A human language." />
<valueSet value="http://hl7.org/fhir/ValueSet/languages" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.text">
<path value="Specimen.text" />
<short value="Text summary of the resource, for human interpretation" />
<definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." />
<comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later." />
<alias value="narrative" />
<alias value="html" />
<alias value="xhtml" />
<alias value="display" />
<min value="0" />
<max value="1" />
<path value="DomainResource.text" />
<min value="0" />
<max value="1" />
</base>
<code value="Narrative" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
<identity value="rim" />
<map value="Act.text?" />
</mapping>
</element>
<element id="Specimen.contained">
<path value="Specimen.contained" />
<short value="Contained, inline Resources" />
<definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." />
<comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." />
<alias value="inline resources" />
<alias value="anonymous resources" />
<alias value="contained resources" />
<min value="0" />
<max value="*" />
<path value="DomainResource.contained" />
<min value="0" />
<max value="*" />
</base>
<code value="Resource" />
</type>
<identity value="rim" />
<map value="Entity. Role, or Act" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension">
<path value="Specimen.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension:feature">
<path value="Specimen.extension" />
<sliceName value="feature" />
<short value="MII EX Biobank Feature R5" />
<definition value="Die Extension ermöglicht es im Specimen das feature aus R5 zu nutzen." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension:probenebene">
<path value="Specimen.extension" />
<sliceName value="probenebene" />
<short value="MII EX Biobank Ebene" />
<definition value="Mittels dieser Extension kann ausgedrückt werden, welcher Probenebene dieses Specimen zuzuordnen ist." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-ebene" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension:festgestellteDiagnose">
<path value="Specimen.extension" />
<sliceName value="festgestellteDiagnose" />
<short value="MII EX Biobank Diagnose">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Festgestellte Diagnose" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Diagnosed condition" />
</extension>
</extension>
</short>
<definition value="Mittels dieser Extension kann ausgedrückt werden, dass Material mit der referenzierten Diagnose in der Probe enthalten ist.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verweis auf eine Diagnose, für die Material in der Probe enthalten ist." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Reference to a diagnosis for which material is present in the specimen." />
</extension>
</extension>
</definition>
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Diagnose" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension:gehoertZu">
<path value="Specimen.extension" />
<sliceName value="gehoertZu" />
<short value="MII EX Biobank Verwaltende Organisation">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verwaltende Organisation" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Managing organization" />
</extension>
</extension>
</short>
<definition value="Die Organisation, die die Probe verwaltet, soll mithilfe dieser Extension referenziert werden. Anfragen zu den Proben sollen mittels dieser Verlinkung und der in der Organization hinterlegten Kontaktinformationen möglich sein.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Zuordnung der Probe zu einer Sammlung oder Biobank, die für die Verwaltung verantwortlich ist." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Assignment of the specimen to a collection or biobank responsible for its management." />
</extension>
</extension>
</definition>
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/VerwaltendeOrganisation" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.extension:anzahlAliquots">
<path value="Specimen.extension" />
<sliceName value="anzahlAliquots" />
<short value="MII EX Biobank Anzahl Aliquots" />
<definition value="Die Extension ermöglicht es, die Anzahl der vorhandenen Aliquots zu einer Aliquot-Gruppe anzugeben." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="DomainResource.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-anzahl-aliquots" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.modifierExtension">
<path value="Specimen.modifierExtension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Extensions that cannot be ignored" />
<definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="DomainResource.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.identifier">
<path value="Specimen.identifier" />
<short value="External Identifier">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Proben-ID" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen ID" />
</extension>
</extension>
</short>
<definition value="Id for specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Einrichtungsinterner Identifier der Probe." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Internal identifier of the specimen at the institution." />
</extension>
</extension>
</definition>
<min value="0" />
<max value="*" />
<path value="Specimen.identifier" />
<min value="0" />
<max value="*" />
</base>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<identity value="rim" />
<map value="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]" />
</mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<identity value="w5" />
<map value="FiveWs.identifier" />
</mapping>
<identity value="v2" />
<map value="SPM-2" />
</mapping>
<identity value="rim" />
<map value=".id" />
</mapping>
</element>
<element id="Specimen.accessionIdentifier">
<path value="Specimen.accessionIdentifier" />
<short value="Identifier assigned by the lab" />
<definition value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.accessionIdentifier" />
<min value="0" />
<max value="1" />
</base>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<identity value="rim" />
<map value="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]" />
</mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<identity value="w5" />
<map value="FiveWs.identifier" />
</mapping>
<identity value="v2" />
<map value="SPM-30 (v2.7+)" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id" />
</mapping>
</element>
<element id="Specimen.status">
<path value="Specimen.status" />
<short value="available | unavailable | unsatisfactory | entered-in-error">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verfügbarkeitsstatus" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Availability status" />
</extension>
</extension>
</short>
<definition value="The availability of the specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Status der Probe in Bezug auf die Verfügbarkeit für Forschung." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The status of the specimen in terms of its availability for research." />
</extension>
</extension>
</definition>
<comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." />
<min value="1" />
<max value="1" />
<path value="Specimen.status" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isModifier value="true" />
<isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" />
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenStatus" />
</extension>
<strength value="required" />
<description value="Codes providing the status/availability of a specimen." />
<valueSet value="http://hl7.org/fhir/ValueSet/specimen-status|4.0.1" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="w5" />
<map value="FiveWs.status" />
</mapping>
<identity value="v2" />
<map value="SPM-20" />
</mapping>
<identity value="rim" />
<map value="status" />
</mapping>
</element>
<element id="Specimen.type">
<path value="Specimen.type" />
<short value="Kind of material that forms the specimen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Probenart" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen type" />
</extension>
</extension>
</short>
<definition value="The kind of material that forms the specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Die Art der Probe, codiert in SNOMED CT." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The type of the specimen, encoded as SNOMED CT code." />
</extension>
</extension>
</definition>
<comment value="The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems." />
<min value="1" />
<max value="1" />
<path value="Specimen.type" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenType" />
</extension>
<strength value="example" />
<description value="The type of the specimen." />
<valueSet value="http://terminology.hl7.org/ValueSet/v2-0487" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="w5" />
<map value="FiveWs.what[x]" />
</mapping>
<identity value="v2" />
<map value="SPM-4 and possibly SPM-5" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
</element>
<element id="Specimen.type.id">
<path value="Specimen.type.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.type.extension">
<path value="Specimen.type.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.type.coding">
<path value="Specimen.type.coding" />
<type value="value" />
<path value="$this.system" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.type.coding.id">
<path value="Specimen.type.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.type.coding.extension">
<path value="Specimen.type.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.type.coding.system">
<path value="Specimen.type.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.type.coding.version">
<path value="Specimen.type.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.type.coding.code">
<path value="Specimen.type.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.type.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.type.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.type.coding.userSelected">
<path value="Specimen.type.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.type.coding:sct">
<path value="Specimen.type.coding" />
<sliceName value="sct" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<strength value="extensible" />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/ValueSet/mii-vs-biobank-probenart-sct" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.id">
<path value="Specimen.type.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.extension">
<path value="Specimen.type.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.system">
<path value="Specimen.type.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="http://snomed.info/sct" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.version">
<path value="Specimen.type.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.code">
<path value="Specimen.type.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="0" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.type.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.type.coding:sct.userSelected">
<path value="Specimen.type.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type">
<path value="Specimen.type.coding" />
<sliceName value="miabis-type" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<strength value="required" />
<valueSet value="https://fhir.bbmri-eric.eu/fhir/ValueSet/miabis-detailed-sample-type-vs" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.id">
<path value="Specimen.type.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.extension">
<path value="Specimen.type.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.system">
<path value="Specimen.type.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="https://fhir.bbmri-eric.eu/fhir/CodeSystem/miabis-detailed-samply-type-cs" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.version">
<path value="Specimen.type.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.code">
<path value="Specimen.type.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.type.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.type.coding:miabis-type.userSelected">
<path value="Specimen.type.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.type.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.type.text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.subject">
<path value="Specimen.subject" />
<short value="Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Patient:in" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Patient" />
</extension>
</extension>
</short>
<definition value="Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verweis auf die Person, von der die Probe stammt." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Reference to the person from whom the specimen was collected." />
</extension>
</extension>
</definition>
<comment value="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." />
<requirements value="Must know the subject context." />
<min value="1" />
<max value="1" />
<path value="Specimen.subject" />
<min value="0" />
<max value="1" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="w5" />
<map value="FiveWs.subject[x]" />
</mapping>
<identity value="rim" />
<map value=".scoper or .scoper.playsRole" />
</mapping>
<identity value="w5" />
<map value="FiveWs.subject" />
</mapping>
</element>
<element id="Specimen.receivedTime">
<path value="Specimen.receivedTime" />
<short value="The time when specimen was received for processing" />
<definition value="Time when specimen was received for processing or testing." />
<min value="0" />
<max value="1" />
<path value="Specimen.receivedTime" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="w5" />
<map value="FiveWs.done[x]" />
</mapping>
<identity value="v2" />
<map value="SPM-18" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime" />
</mapping>
</element>
<element id="Specimen.parent">
<path value="Specimen.parent" />
<short value="Specimen from which this specimen originated">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Ist gewonnen aus" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Derived from" />
</extension>
</extension>
</short>
<definition value="Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Referenz auf eine übergeordnete Probe, aus der diese Probe gewonnen wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Reference to a parent specimen from which this specimen was derived." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="0" />
<max value="*" />
<path value="Specimen.parent" />
<min value="0" />
<max value="*" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="rim" />
<map value=".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)" />
</mapping>
</element>
<element id="Specimen.request">
<path value="Specimen.request" />
<short value="Why the specimen was collected">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Entnahme-ID" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Collection ID" />
</extension>
</extension>
</short>
<definition value="Details concerning a service request that required a specimen to be collected.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Identifier der Probenentnahme." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The identifier for the specimen collection." />
</extension>
</extension>
</definition>
<comment value="The request may be explicit or implied such with a ServiceRequest that requires a blood draw." />
<min value="0" />
<max value="*" />
<path value="Specimen.request" />
<min value="0" />
<max value="*" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="w5" />
<map value="FiveWs.why[x]" />
</mapping>
<identity value="v2" />
<map value="ORC? OBR-2/3?" />
</mapping>
<identity value="rim" />
<map value="outboundRelationship[typeCode=FLFS].target" />
</mapping>
</element>
<element id="Specimen.collection">
<path value="Specimen.collection" />
<short value="Collection details">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Probenentnahme" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen sampling" />
</extension>
</extension>
</short>
<definition value="Details concerning the specimen collection.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Informationen über den Prozess der Probenentnahme, einschließlich Entnahmezeitpunkt und -stelle." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Information about the specimen collection process, including collection time and site." />
</extension>
</extension>
</definition>
<min value="1" />
<max value="1" />
<path value="Specimen.collection" />
<min value="0" />
<max value="1" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SPM-14" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]" />
</mapping>
</element>
<element id="Specimen.collection.id">
<path value="Specimen.collection.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.extension">
<path value="Specimen.collection.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.extension:einstellungBlutversorgung">
<path value="Specimen.collection.extension" />
<sliceName value="einstellungBlutversorgung" />
<short value="MII EX Biobank Einstellung Blutversorgung" />
<definition value="Zeitpunkt der Einstellung der Bluversorgung während der Entnahme. Wird z.B. für die Berechnung der kalten bzw. warem Ischämiezeiten benötigt." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/EinstellungBlutversorgung" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.modifierExtension">
<path value="Specimen.collection.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.collector">
<path value="Specimen.collection.collector" />
<short value="Who collected the specimen" />
<definition value="Person who collected the specimen." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.collector" />
<min value="0" />
<max value="1" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="w5" />
<map value="FiveWs.actor" />
</mapping>
<identity value="v2" />
<map value="PRT" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=PFM].role" />
</mapping>
</element>
<element id="Specimen.collection.collected[x]">
<path value="Specimen.collection.collected[x]" />
<short value="Collection time">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Entnahmezeitpunkt" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Sampling time" />
</extension>
</extension>
</short>
<definition value="Time when specimen was collected from subject - the physiologically relevant time.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Zeitpunkt, zu dem die Probe entnommen oder gesammelt wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The time when the specimen was collected or obtained." />
</extension>
</extension>
</definition>
<min value="1" />
<max value="1" />
<path value="Specimen.collection.collected[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<code value="Period" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="w5" />
<map value="FiveWs.init" />
</mapping>
<identity value="v2" />
<map value="SPM-17" />
</mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
</element>
<element id="Specimen.collection.duration">
<path value="Specimen.collection.duration" />
<short value="How long it took to collect specimen" />
<definition value="The span of time over which the collection of a specimen occurred." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.duration" />
<min value="0" />
<max value="1" />
</base>
<code value="Duration" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="qty-3" />
<severity value="error" />
<human value="If a code for the unit is present, the system SHALL also be present" />
<expression value="code.empty() or system.exists()" />
<xpath value="not(exists(f:code)) or exists(f:system)" />
<source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
</constraint>
<key value="drt-1" />
<severity value="error" />
<human value="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." />
<expression value="code.exists() implies ((system = %ucum) and value.exists())" />
<xpath value="(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" />
<source value="http://hl7.org/fhir/StructureDefinition/Duration" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN (see also Range) or CQ" />
</mapping>
<identity value="rim" />
<map value="PQ, IVL<PQ>, MO, CO, depending on the values" />
</mapping>
<identity value="rim" />
<map value="PQ, IVL<PQ> depending on the values" />
</mapping>
<identity value="w5" />
<map value="FiveWs.init" />
</mapping>
</element>
<element id="Specimen.collection.quantity">
<path value="Specimen.collection.quantity" />
<short value="The quantity of specimen collected">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Probenmenge" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen quantity" />
</extension>
</extension>
</short>
<definition value="The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Die Menge des gesammelten Materials." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The amount of material collected." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.quantity" />
<min value="0" />
<max value="1" />
</base>
<code value="Quantity" />
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="qty-3" />
<severity value="error" />
<human value="If a code for the unit is present, the system SHALL also be present" />
<expression value="code.empty() or system.exists()" />
<xpath value="not(exists(f:code)) or exists(f:system)" />
<source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
</constraint>
<key value="sqty-1" />
<severity value="error" />
<human value="The comparator is not used on a SimpleQuantity" />
<expression value="comparator.empty()" />
<xpath value="not(exists(f:comparator))" />
<source value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
</constraint>
<mustSupport value="true" />
<isModifier value="false" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN (see also Range) or CQ" />
</mapping>
<identity value="rim" />
<map value="PQ, IVL<PQ>, MO, CO, depending on the values" />
</mapping>
<identity value="v2" />
<map value="SPM-12" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity" />
</mapping>
</element>
<element id="Specimen.collection.quantity.id">
<path value="Specimen.collection.quantity.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.quantity.extension">
<path value="Specimen.collection.quantity.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.quantity.extension:pqTranslation">
<path value="Specimen.collection.quantity.extension" />
<sliceName value="pqTranslation" />
<short value="Same quantity with different units" />
<definition value="An alternative representation of the same physical quantity expressed in a different unit from a different unit code system and possibly with a different value." />
<comment value="It is not necessary for information processing entities to check and enforce that the translations are valid translations of the base unit, but they are allowed to do so, and to reject instances where the translations are not valid. \nNOTE Translations are allowed to contain other representations in UCUM units, but there is generally no point to this as it is possible to convert from one UCUM form to another." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
<identity value="rim" />
<map value="PQ.translation" />
</mapping>
</element>
<element id="Specimen.collection.quantity.extension:quantityPrecision">
<path value="Specimen.collection.quantity.extension" />
<sliceName value="quantityPrecision" />
<short value="Explicit precision (number of significant decimal places)" />
<definition value="Explicit precision of the number. This is the number of significant decimal places after the decimal point, irrespective of how many are actually present in the explicitly represented decimal." />
<comment value="The presence of this extension does not change conformance expectations with regard to rendering and calculations that use the number - these are still based on the raw decimal value. Applications that perform calculations SHALL ensure that this extension is removed or updated to the correct precision value if the number is changed. Applications should consider using the exponential form (e.g. 2.10e3) on the raw decimal to manage significant figures, but should be mindful of human display when doing so." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="http://hl7.org/fhir/StructureDefinition/quantity-precision" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
<identity value="v2" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.quantity.value">
<path value="Specimen.collection.quantity.value" />
<short value="Numerical value (with implicit precision)" />
<definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value." />
<comment value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." />
<requirements value="Precision is handled implicitly in almost all cases of measurement." />
<min value="1" />
<max value="1" />
<path value="Quantity.value" />
<min value="0" />
<max value="1" />
</base>
<code value="decimal" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN.2 / CQ - N/A" />
</mapping>
<identity value="rim" />
<map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" />
</mapping>
</element>
<element id="Specimen.collection.quantity.comparator">
<path value="Specimen.collection.quantity.comparator" />
<short value="< | <= | >= | > - how to understand the value" />
<definition value="Not allowed to be used in this context" />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." />
<min value="0" />
<max value="0" />
<path value="Quantity.comparator" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<meaningWhenMissing value="If there is no comparator, then there is no modification of the value" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isModifier value="true" />
<isModifierReason value="This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" />
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuantityComparator" />
</extension>
<strength value="required" />
<description value="How the Quantity should be understood and represented." />
<valueSet value="http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN.1 / CQ.1" />
</mapping>
<identity value="rim" />
<map value="IVL properties" />
</mapping>
</element>
<element id="Specimen.collection.quantity.unit">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.quantity.unit" />
<short value="Unit representation" />
<definition value="A human-readable form of the unit." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." />
<min value="1" />
<max value="1" />
<path value="Quantity.unit" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="(see OBX.6 etc.) / CQ.2" />
</mapping>
<identity value="rim" />
<map value="PQ.unit" />
</mapping>
</element>
<element id="Specimen.collection.quantity.system">
<path value="Specimen.collection.quantity.system" />
<short value="System that defines coded unit form" />
<definition value="The identification of the system that provides the coded form of the unit." />
<comment value="see http://en.wikipedia.org/wiki/Uniform_resource_identifier" />
<requirements value="Need to know the system that defines the coded form of the unit." />
<min value="1" />
<max value="1" />
<path value="Quantity.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="http://unitsofmeasure.org" />
<condition value="ele-1" />
<condition value="qty-3" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="(see OBX.6 etc.) / CQ.2" />
</mapping>
<identity value="rim" />
<map value="CO.codeSystem, PQ.translation.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.quantity.code">
<path value="Specimen.collection.quantity.code" />
<short value="Coded form of the unit" />
<definition value="A computer processable form of the unit in some unit representation system." />
<comment value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system." />
<requirements value="Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." />
<min value="1" />
<max value="1" />
<path value="Quantity.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="(see OBX.6 etc.) / CQ.2" />
</mapping>
<identity value="rim" />
<map value="PQ.code, MO.currency, PQ.translation.code" />
</mapping>
</element>
<element id="Specimen.collection.method">
<path value="Specimen.collection.method" />
<short value="Technique used to perform collection" />
<definition value="A coded value specifying the technique that is used to perform the procedure." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.method" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenCollectionMethod" />
</extension>
<strength value="example" />
<description value="The technique that is used to perform the procedure." />
<valueSet value="http://hl7.org/fhir/ValueSet/specimen-collection-method" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="v2" />
<map value="SPM-7" />
</mapping>
<identity value="rim" />
<map value=".methodCode" />
</mapping>
</element>
<element id="Specimen.collection.method.id">
<path value="Specimen.collection.method.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.method.extension">
<path value="Specimen.collection.method.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.method.coding">
<path value="Specimen.collection.method.coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.id">
<path value="Specimen.collection.method.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.extension">
<path value="Specimen.collection.method.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.system">
<path value="Specimen.collection.method.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.version">
<path value="Specimen.collection.method.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.code">
<path value="Specimen.collection.method.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.method.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.collection.method.coding.userSelected">
<path value="Specimen.collection.method.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.collection.method.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.method.text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.collection.bodySite">
<path value="Specimen.collection.bodySite" />
<short value="Anatomical collection site">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Anatomische Lokalisation" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="anatomical localisation" />
</extension>
</extension>
</short>
<definition value="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.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Die Körperstelle, von der die Probe entnommen wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The body site from which the specimen was collected." />
</extension>
</extension>
</definition>
<comment value="If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html)." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.bodySite" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="mii-bb-1" />
<severity value="error" />
<human value="Bei der Angabe der Entnahmestelle muss ein ICD-O-3 Topographiecode oder ein SNOMED CT Code angegeben werden." />
<expression value="coding.where(system = 'http://snomed.info/sct' or system = 'http://terminology.hl7.org/CodeSystem/icd-o-3').exists()" />
<source value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/SpecimenCore" />
</constraint>
<mustSupport value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="BodySite" />
</extension>
<strength value="example" />
<description value="Codes describing anatomical locations. May include laterality." />
<valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="v2" />
<map value="SPM-8 and SPM-9" />
</mapping>
<identity value="rim" />
<map value=".targetSiteCode" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.id">
<path value="Specimen.collection.bodySite.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.extension">
<path value="Specimen.collection.bodySite.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding">
<path value="Specimen.collection.bodySite.coding" />
<type value="value" />
<path value="$this.system" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.id">
<path value="Specimen.collection.bodySite.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.extension">
<path value="Specimen.collection.bodySite.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.system">
<path value="Specimen.collection.bodySite.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.version">
<path value="Specimen.collection.bodySite.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.code">
<path value="Specimen.collection.bodySite.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.bodySite.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding.userSelected">
<path value="Specimen.collection.bodySite.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct">
<path value="Specimen.collection.bodySite.coding" />
<sliceName value="sct" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<strength value="required" />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/ValueSet/mii-vs-biobank-body-structures-sct" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.id">
<path value="Specimen.collection.bodySite.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.extension">
<path value="Specimen.collection.bodySite.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.system">
<path value="Specimen.collection.bodySite.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="http://snomed.info/sct" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.version">
<path value="Specimen.collection.bodySite.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.code">
<path value="Specimen.collection.bodySite.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="0" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.bodySite.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:sct.userSelected">
<path value="Specimen.collection.bodySite.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3">
<path value="Specimen.collection.bodySite.coding" />
<sliceName value="icd-o-3" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<strength value="required" />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-icdo3-topographie" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.id">
<path value="Specimen.collection.bodySite.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.extension">
<path value="Specimen.collection.bodySite.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.system">
<path value="Specimen.collection.bodySite.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="http://terminology.hl7.org/CodeSystem/icd-o-3" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.version">
<path value="Specimen.collection.bodySite.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.code">
<path value="Specimen.collection.bodySite.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="0" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.bodySite.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.coding:icd-o-3.userSelected">
<path value="Specimen.collection.bodySite.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.collection.bodySite.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.bodySite.text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]">
<path value="Specimen.collection.fastingStatus[x]" />
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Whether or how long patient abstained from food and/or drink">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Nüchternstatus" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Fasting status" />
</extension>
</extension>
</short>
<definition value="Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Nüchternstatus der Person zum Zeitpunkt der Probenentnahme." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The fasting status of the person at the time the specimen was collected." />
</extension>
</extension>
</definition>
<comment value="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)." />
<requirements value="Many diagnostic tests require fasting to facilitate accurate interpretation." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.fastingStatus[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<code value="Duration" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FastingStatus" />
</extension>
<strength value="extensible" />
<description value="Codes describing the fasting status of the patient." />
<valueSet value="http://terminology.hl7.org/ValueSet/v2-0916" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="OBR-" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept">
<path value="Specimen.collection.fastingStatus[x]" />
<sliceName value="fastingStatusCodeableConcept" />
<short value="Whether or how long patient abstained from food and/or drink" />
<definition value="Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection." />
<comment value="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)." />
<requirements value="Many diagnostic tests require fasting to facilitate accurate interpretation." />
<min value="0" />
<max value="1" />
<path value="Specimen.collection.fastingStatus[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="FastingStatus" />
</extension>
<strength value="required" />
<description value="Codes describing the fasting status of the patient." />
<valueSet value="http://terminology.hl7.org/ValueSet/v2-0916" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="OBR-" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.id">
<path value="Specimen.collection.fastingStatus[x].id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.extension">
<path value="Specimen.collection.fastingStatus[x].extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding">
<path value="Specimen.collection.fastingStatus[x].coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="0" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.id">
<path value="Specimen.collection.fastingStatus[x].coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.extension">
<path value="Specimen.collection.fastingStatus[x].coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.system">
<path value="Specimen.collection.fastingStatus[x].coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.version">
<path value="Specimen.collection.fastingStatus[x].coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.code">
<path value="Specimen.collection.fastingStatus[x].coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.fastingStatus[x].coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.coding.userSelected">
<path value="Specimen.collection.fastingStatus[x].coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.collection.fastingStatus[x].text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.processing">
<path value="Specimen.processing" />
<type value="value" />
<path value="$this.procedure" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Processing and processing step details">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Probenverarbeitung" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen processing" />
</extension>
</extension>
</short>
<definition value="Details concerning processing and processing steps for the specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Details zur Verarbeitung der Probe, einschließlich Prozeduren und Verarbeitungszeitraum." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Details about the processing of the specimen, including procedures and processing period." />
</extension>
</extension>
</definition>
<min value="0" />
<max value="*" />
<path value="Specimen.processing" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]" />
</mapping>
</element>
<element id="Specimen.processing.id">
<path value="Specimen.processing.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing.extension">
<path value="Specimen.processing.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="1" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.extension:temperaturbedingungen">
<path value="Specimen.processing.extension" />
<sliceName value="temperaturbedingungen" />
<short value="MII EX Biobank Temperaturbedingungen" />
<definition value="Um zu einer Verabeitung oder Lagerung die jeweils herrschenden Temperaturbedingungen (in °C) anzugeben soll diese Extension verwendet werden. Dabei soll nach Möglichkeit immer ein Wertebereich inkl. oberer und unterer Grenze angegeben werden." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="1" />
<max value="1" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.extension:temperature-miabis">
<path value="Specimen.processing.extension" />
<sliceName value="temperature-miabis" />
<short value="Sample storage temperature" />
<definition value="The long-term temperature at which the sample is stored after preparation, based on SPREC v3" />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="1" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://fhir.bbmri-eric.eu/fhir/StructureDefinition/miabis-sample-storage-temperature-extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.modifierExtension">
<path value="Specimen.processing.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.description">
<path value="Specimen.processing.description" />
<short value="Textual description of procedure" />
<definition value="Textual description of procedure." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Specimen.processing.description" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".text" />
</mapping>
</element>
<element id="Specimen.processing.procedure">
<path value="Specimen.processing.procedure" />
<short value="Indicates the treatment step applied to the specimen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verarbeitungstyp" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Processing procedure" />
</extension>
</extension>
</short>
<definition value="A coded value specifying the procedure used to process the specimen.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Die angewendete Prozedur zur Verarbeitung der Probe, z.B. Zentrifugation." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The procedure applied to process the specimen, e.g. centrifugation." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="1" />
<max value="1" />
<path value="Specimen.processing.procedure" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenProcessingProcedure" />
</extension>
<strength value="example" />
<description value="Type indicating the technique used to process the specimen." />
<valueSet value="http://hl7.org/fhir/ValueSet/specimen-processing-procedure" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
</element>
<element id="Specimen.processing.procedure.id">
<path value="Specimen.processing.procedure.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing.procedure.extension">
<path value="Specimen.processing.procedure.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding">
<path value="Specimen.processing.procedure.coding" />
<type value="value" />
<path value="$this.system" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.id">
<path value="Specimen.processing.procedure.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.extension">
<path value="Specimen.processing.procedure.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.system">
<path value="Specimen.processing.procedure.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.version">
<path value="Specimen.processing.procedure.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.code">
<path value="Specimen.processing.procedure.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.processing.procedure.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding.userSelected">
<path value="Specimen.processing.procedure.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct">
<path value="Specimen.processing.procedure.coding" />
<sliceName value="sct" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<strength value="preferred" />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/ValueSet/mii-vs-biobank-laboratory-procedure-sct" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.id">
<path value="Specimen.processing.procedure.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.extension">
<path value="Specimen.processing.procedure.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.system">
<path value="Specimen.processing.procedure.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="0" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<patternUri value="http://snomed.info/sct" />
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.version">
<path value="Specimen.processing.procedure.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.code">
<path value="Specimen.processing.procedure.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="0" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.processing.procedure.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.processing.procedure.coding:sct.userSelected">
<path value="Specimen.processing.procedure.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.processing.procedure.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.processing.procedure.text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.processing.additive">
<path value="Specimen.processing.additive" />
<short value="Material used in the processing step">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Additive bei Verarbeitung" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Processing additives" />
</extension>
</extension>
</short>
<definition value="Material used in the processing step.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Zusatzstoffe, die während der Probenverarbeitung verwendet wurden, z.B. Fixierungsmittel." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Additives used during the specimen processing, e.g. fixatives." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="0" />
<max value="*" />
<path value="Specimen.processing.additive" />
<min value="0" />
<max value="*" />
</base>
<code value="Reference" />
<targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Substance" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="v2" />
<map value="SPM-6" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=CSM].role[classCode=ADTV].code" />
</mapping>
</element>
<element id="Specimen.processing.time[x]">
<path value="Specimen.processing.time[x]" />
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Date and time of specimen processing" />
<definition value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.processing.time[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<code value="Period" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
</element>
<element id="Specimen.processing.time[x]:timePeriod">
<path value="Specimen.processing.time[x]" />
<sliceName value="timePeriod" />
<short value="Date and time of specimen processing">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Verarbeitungszeitraum" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Processing period" />
</extension>
</extension>
</short>
<definition value="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.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Zeitraum, in dem die Probe verarbeitet wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The time period during which the specimen was processed." />
</extension>
</extension>
</definition>
<min value="0" />
<max value="1" />
<path value="Specimen.processing.time[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="Period" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
</element>
<element id="Specimen.processing.time[x]:timePeriod.id">
<path value="Specimen.processing.time[x].id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing.time[x]:timePeriod.extension">
<path value="Specimen.processing.time[x].extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing.time[x]:timePeriod.start">
<path value="Specimen.processing.time[x].start" />
<short value="Starting time with inclusive boundary" />
<definition value="The start of the period. The boundary is inclusive." />
<comment value="If the low element is missing, the meaning is that the low boundary is not known." />
<min value="0" />
<max value="1" />
<path value="Period.start" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<condition value="per-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="DR.1" />
</mapping>
<identity value="rim" />
<map value="./low" />
</mapping>
</element>
<element id="Specimen.processing.time[x]:timePeriod.end">
<path value="Specimen.processing.time[x].end" />
<short value="End time with inclusive boundary, if not ongoing" />
<definition value="The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." />
<comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." />
<min value="0" />
<max value="1" />
<path value="Period.end" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" />
<condition value="ele-1" />
<condition value="per-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="DR.2" />
</mapping>
<identity value="rim" />
<map value="./high" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess">
<path value="Specimen.processing" />
<sliceName value="lagerprozess" />
<short value="Processing and processing step details" />
<definition value="Details concerning processing and processing steps for the specimen." />
<min value="0" />
<max value="*" />
<path value="Specimen.processing" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.id">
<path value="Specimen.processing.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.extension">
<path value="Specimen.processing.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.extension:temperaturbedingungen">
<path value="Specimen.processing.extension" />
<sliceName value="temperaturbedingungen" />
<short value="MII EX Biobank Temperaturbedingungen" />
<definition value="Um zu einer Verabeitung oder Lagerung die jeweils herrschenden Temperaturbedingungen (in °C) anzugeben soll diese Extension verwendet werden. Dabei soll nach Möglichkeit immer ein Wertebereich inkl. oberer und unterer Grenze angegeben werden." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="1" />
<max value="1" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.modifierExtension">
<path value="Specimen.processing.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.description">
<path value="Specimen.processing.description" />
<short value="Textual description of procedure" />
<definition value="Textual description of procedure." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Specimen.processing.description" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".text" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.procedure">
<path value="Specimen.processing.procedure" />
<short value="Indicates the treatment step applied to the specimen" />
<definition value="A coded value specifying the procedure used to process the specimen." />
<comment value="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." />
<min value="1" />
<max value="1" />
<path value="Specimen.processing.procedure" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<system value="http://snomed.info/sct" />
<code value="1186936003" />
</coding>
</patternCodeableConcept>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenProcessingProcedure" />
</extension>
<strength value="example" />
<description value="Type indicating the technique used to process the specimen." />
<valueSet value="http://hl7.org/fhir/ValueSet/specimen-processing-procedure" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.additive">
<path value="Specimen.processing.additive" />
<short value="Material used in the processing step" />
<definition value="Material used in the processing step." />
<comment value="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." />
<min value="0" />
<max value="*" />
<path value="Specimen.processing.additive" />
<min value="0" />
<max value="*" />
</base>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ref-1" />
<severity value="error" />
<human value="SHALL have a contained resource if a local reference is provided" />
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Reference" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)" />
</mapping>
<identity value="v2" />
<map value="SPM-6" />
</mapping>
<identity value="rim" />
<map value=".participation[typeCode=CSM].role[classCode=ADTV].code" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]">
<path value="Specimen.processing.time[x]" />
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<short value="Date and time of specimen processing" />
<definition value="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." />
<min value="1" />
<max value="1" />
<path value="Specimen.processing.time[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="Period" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]:timePeriod">
<path value="Specimen.processing.time[x]" />
<sliceName value="timePeriod" />
<short value="Date and time of specimen processing" />
<definition value="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." />
<min value="1" />
<max value="1" />
<path value="Specimen.processing.time[x]" />
<min value="0" />
<max value="1" />
</base>
<code value="Period" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".effectiveTime" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]:timePeriod.id">
<path value="Specimen.processing.time[x].id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]:timePeriod.extension">
<path value="Specimen.processing.time[x].extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]:timePeriod.start">
<path value="Specimen.processing.time[x].start" />
<short value="Starting time with inclusive boundary" />
<definition value="The start of the period. The boundary is inclusive." />
<comment value="If the low element is missing, the meaning is that the low boundary is not known." />
<min value="1" />
<max value="1" />
<path value="Period.start" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<condition value="ele-1" />
<condition value="per-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="DR.1" />
</mapping>
<identity value="rim" />
<map value="./low" />
</mapping>
</element>
<element id="Specimen.processing:lagerprozess.time[x]:timePeriod.end">
<path value="Specimen.processing.time[x].end" />
<short value="End time with inclusive boundary, if not ongoing" />
<definition value="The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." />
<comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." />
<min value="0" />
<max value="1" />
<path value="Period.end" />
<min value="0" />
<max value="1" />
</base>
<code value="dateTime" />
</type>
<meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" />
<condition value="ele-1" />
<condition value="per-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="DR.2" />
</mapping>
<identity value="rim" />
<map value="./high" />
</mapping>
</element>
<element id="Specimen.container">
<path value="Specimen.container" />
<short value="Direct container of specimen (tube/slide, etc.)">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Probenbehältnis" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Specimen container" />
</extension>
</extension>
</short>
<definition value="The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Informationen über den Behälter, in dem die Probe aufbewahrt wird." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Information about the container in which the specimen is stored." />
</extension>
</extension>
</definition>
<min value="1" />
<max value="*" />
<path value="Specimen.container" />
<min value="0" />
<max value="*" />
</base>
<code value="BackboneElement" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".player.scopingRole[classCode=CONT].scoper" />
</mapping>
</element>
<element id="Specimen.container.id">
<path value="Specimen.container.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.container.extension">
<path value="Specimen.container.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.container.modifierExtension">
<path value="Specimen.container.modifierExtension" />
<short value="Extensions that cannot be ignored even if unrecognized" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
<comment value="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." />
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." />
<alias value="extensions" />
<alias value="user content" />
<alias value="modifiers" />
<min value="0" />
<max value="*" />
<path value="BackboneElement.modifierExtension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<isModifier value="true" />
<isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.container.identifier">
<path value="Specimen.container.identifier" />
<short value="Id for the container" />
<definition value="Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances." />
<min value="0" />
<max value="*" />
<path value="Specimen.container.identifier" />
<min value="0" />
<max value="*" />
</base>
<code value="Identifier" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CX / EI (occasionally, more often EI maps to a resource id or a URL)" />
</mapping>
<identity value="rim" />
<map value="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]" />
</mapping>
<identity value="servd" />
<map value="Identifier" />
</mapping>
<identity value="v2" />
<map value="SAC-3" />
</mapping>
<identity value="rim" />
<map value=".id" />
</mapping>
</element>
<element id="Specimen.container.description">
<path value="Specimen.container.description" />
<short value="Textual description of the container" />
<definition value="Textual description of the container." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<min value="0" />
<max value="1" />
<path value="Specimen.container.description" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value=".desc" />
</mapping>
</element>
<element id="Specimen.container.type">
<path value="Specimen.container.type" />
<short value="Kind of container directly associated with specimen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Containertyp" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Container type" />
</extension>
</extension>
</short>
<definition value="The type of container associated with the specimen (e.g. slide, aliquot, etc.).">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Typ des Probencontainers, der für diese Probe verwendet wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The type of container used for this specimen." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="1" />
<max value="1" />
<path value="Specimen.container.type" />
<min value="0" />
<max value="1" />
</base>
<code value="CodeableConcept" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="SpecimenContainerType" />
</extension>
<strength value="extensible" />
<description value="Type of specimen container." />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/ValueSet/mii-vs-biobank-containertyp-sct" />
</binding>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE" />
</mapping>
<identity value="rim" />
<map value="CD" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept rdfs:subClassOf dt:CD" />
</mapping>
<identity value="v2" />
<map value="SPM-27" />
</mapping>
<identity value="rim" />
<map value=".code" />
</mapping>
</element>
<element id="Specimen.container.type.id">
<path value="Specimen.container.type.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.container.type.extension">
<path value="Specimen.container.type.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.container.type.coding">
<path value="Specimen.container.type.coding" />
<short value="Code defined by a terminology system" />
<definition value="A reference to a code defined by a terminology system." />
<comment value="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." />
<requirements value="Allows for alternative encodings within a code system, and translations to other code systems." />
<min value="1" />
<max value="*" />
<path value="CodeableConcept.coding" />
<min value="0" />
<max value="*" />
</base>
<code value="Coding" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" />
</mapping>
<identity value="rim" />
<map value="CV" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding rdfs:subClassOf dt:CDCoding" />
</mapping>
<identity value="v2" />
<map value="C*E.1-8, C*E.10-22" />
</mapping>
<identity value="rim" />
<map value="union(., ./translation)" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" />
</mapping>
</element>
<element id="Specimen.container.type.coding.id">
<path value="Specimen.container.type.coding.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.container.type.coding.extension">
<path value="Specimen.container.type.coding.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.container.type.coding.system">
<path value="Specimen.container.type.coding.system" />
<short value="Identity of the terminology system" />
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
<requirements value="Need to be unambiguous about the source of the definition of the symbol." />
<min value="1" />
<max value="1" />
<path value="Coding.system" />
<min value="0" />
<max value="1" />
</base>
<code value="uri" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.3" />
</mapping>
<identity value="rim" />
<map value="./codeSystem" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" />
</mapping>
</element>
<element id="Specimen.container.type.coding.version">
<path value="Specimen.container.type.coding.version" />
<short value="Version of the system - if relevant" />
<definition value="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." />
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.version" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.7" />
</mapping>
<identity value="rim" />
<map value="./codeSystemVersion" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" />
</mapping>
</element>
<element id="Specimen.container.type.coding.code">
<path value="Specimen.container.type.coding.code" />
<short value="Symbol in syntax defined by the system" />
<definition value="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)." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to refer to a particular code in the system." />
<min value="1" />
<max value="1" />
<path value="Coding.code" />
<min value="0" />
<max value="1" />
</base>
<code value="code" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mustSupport value="true" />
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.1" />
</mapping>
<identity value="rim" />
<map value="./code" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" />
</mapping>
</element>
<element id="Specimen.container.type.coding.display">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.container.type.coding.display" />
<short value="Representation defined by the system" />
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<comment value="Note that FHIR strings SHALL NOT exceed 1MB in size" />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
<min value="0" />
<max value="1" />
<path value="Coding.display" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.2 - but note this is not well followed" />
</mapping>
<identity value="rim" />
<map value="CV.displayName" />
</mapping>
<identity value="orim" />
<map value="fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" />
</mapping>
</element>
<element id="Specimen.container.type.coding.userSelected">
<path value="Specimen.container.type.coding.userSelected" />
<short value="If this coding was chosen directly by the user" />
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="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." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="Coding.userSelected" />
<min value="0" />
<max value="1" />
</base>
<code value="boolean" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="Sometimes implied by being first" />
</mapping>
<identity value="rim" />
<map value="CD.codingRationale" />
</mapping>
<identity value="orim" />
<map value="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 ]" />
</mapping>
</element>
<element id="Specimen.container.type.text">
<extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true" />
</extension>
<path value="Specimen.container.type.text" />
<short value="Plain text representation of the concept" />
<definition value="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." />
<comment value="Very often the text is the same as a displayName of one of the codings." />
<requirements value="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." />
<min value="0" />
<max value="1" />
<path value="CodeableConcept.text" />
<min value="0" />
<max value="1" />
</base>
<code value="string" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<isSummary value="true" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="C*E.9. But note many systems use C*E.2 for this" />
</mapping>
<identity value="rim" />
<map value="./originalText[mediaType/code="text/plain"]/data" />
</mapping>
<identity value="orim" />
<map value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" />
</mapping>
</element>
<element id="Specimen.container.capacity">
<path value="Specimen.container.capacity" />
<short value="Container volume or size">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Containerkapazität" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Capacity" />
</extension>
</extension>
</short>
<definition value="The capacity (volume or other measure) the container may contain.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Die maximale Kapazität des Containers, der für die Probe verwendet wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The maximum capacity of the container used for the specimen." />
</extension>
</extension>
</definition>
<comment value="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." />
<min value="0" />
<max value="1" />
<path value="Specimen.container.capacity" />
<min value="0" />
<max value="1" />
</base>
<code value="Quantity" />
<profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="qty-3" />
<severity value="error" />
<human value="If a code for the unit is present, the system SHALL also be present" />
<expression value="code.empty() or system.exists()" />
<xpath value="not(exists(f:code)) or exists(f:system)" />
<source value="http://hl7.org/fhir/StructureDefinition/Quantity" />
</constraint>
<key value="sqty-1" />
<severity value="error" />
<human value="The comparator is not used on a SimpleQuantity" />
<expression value="comparator.empty()" />
<xpath value="not(exists(f:comparator))" />
<source value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
</constraint>
<mustSupport value="true" />
<isModifier value="false" />
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="v2" />
<map value="SN (see also Range) or CQ" />
</mapping>
<identity value="rim" />
<map value="PQ, IVL<PQ>, MO, CO, depending on the values" />
</mapping>
<identity value="v2" />
<map value="one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20" />
</mapping>
<identity value="rim" />
<map value=".quantity" />
</mapping>
</element>
<element id="Specimen.container.capacity.id">
<path value="Specimen.container.capacity.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Specimen.container.capacity.extension">
<path value="Specimen.container.capacity.extension" />
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="*" />
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<code value="Extension" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<identity value="rim" />
<map value="n/a" />
</mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Specimen.container.capacity.value">
<path value="Specimen.container.capacity.value" />
<short value="Numerical value (with implicit precision)" />
<definition value="The value of the measured amount. The value includes an implicit precision in the presentation of the value." />
<comment value="The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." />
<requirements value="Precision is handled implicitly in almost all cases of measurement." />
<min value="1" />
<max value="1" />
<path value="Quantity.value" />
<min value="0" />
<max value="1" />
</base>
<code value="decimal" />
</type>
<condition value="ele-1" />
<key value="ele-1" />
<severity value="error" />
<human value=&quo