MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR Onkologie Specimen

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-krk-specimen Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_Onko_KRK_Specimen

Histologie: Dieses Profil beschreibt eine Gewebeprobe in der Onkologie.

Inhalt

Dieses Profil beschreibt Gewebeproben (Specimens) beim Kolorektalen Karzinom, die im Rahmen operativer Eingriffe entnommen werden. Es umfasst sowohl die Charakterisierung des Gewebes als auch spezifische pathologische Aspekte wie die TME-Qualität (Totale mesorektale Exzision) bei Rektumkarzinomen.

Das Profil basiert auf einer FHIR Specimen-Ressource und stellt die Verbindung zwischen der chirurgischen Entnahme und der pathologischen Aufarbeitung her.

Verknüpfungen zu anderen Ressourcen

Das KRK-Specimen ist ein wichtiges Bindeglied in der Diagnostikkette:

  • verweist über Specimen.subject auf den Patienten (Patient-Ressource)
  • steht in Bezug zur Entnahme-Procedure über Specimen.collection.procedure
  • kann mit pathologischen Observations verknüpft werden (z.B. Histologie, Grading)
  • dient als Basis für die Bestimmung von Resektionsrändern und TNM-Klassifikation

oBDS-Kontext

Das KRK-Specimen bildet die Grundlage für verschiedene oBDS-Bewertungen:

  • Pathologische Beurteilung des Resektats
  • TME-Qualität bei Rektumkarzinomen (KR4)
  • Histopathologische Charakteristika des Tumors
  • Resektionsrandbeurteilung

Terminologie-Binding

Das Profil verwendet spezialisierte ValueSets für kolorektale Specimens, insbesondere für die Bewertung der TME-Qualität und anderer pathologischer Parameter.

ValueSet: MII VS Onko KRK TME Qualität

Die enthaltenen Codes sind in der Artefaktdarstellung aufgeführt: MII VS Onkologie KRK TME Qualität.

Die enthaltenen Codes sind in der Artefaktdarstellung aufgeführt: MII VS Onkologie KRK TME Qualität.

Mapping Datensatz zu FHIR

Die Zuordnung der Datensatzfelder ist im logischen Modell dokumentiert: MII LM Onkologie Organspezifische Zusatzmodule.

Mapping Einheitlicher onkologischer Basisdatensatz (oBDS) zu FHIR

Die oBDS-Mappings sind in der Artefaktdarstellung des Profils hinterlegt: MII PR Onkologie Specimen.

Beispiele

mii-exa-onko-krk-specimen

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... value SΣ 0..1 string Histologie-Einsendenummer
Example General: 123456
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
... subject SΣ 1..1 Reference(Patient) 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
... collection S 0..1 BackboneElement Collection details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for collected[x] Σ 0..1 Collection time
Slice: Unordered, Closed by type:$this
..... collectedDateTime dateTime
..... collectedPeriod Period
..... collected[x]:collectedDateTime SΣ 0..1 dateTime Tumor Histologiedatum
... condition SΣ 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Specimen.accessionIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Specimen.status Base required SpecimenStatus 📍4.0.1 FHIR Std.
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Specimen If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Specimen If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Diese Struktur ist abgeleitet von MII_PR_Onko_Specimen

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... accessionIdentifier
.... value 0..1 string Histologie-Einsendenummer
... collection
.... Slices for collected[x] Content/Rules for all slices
..... collected[x]:collectedDateTime 0..1 dateTime Tumor Histologiedatum
... condition S 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifier
... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string Histologie-Einsendenummer
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
... type Σ 0..1 CodeableConcept Kind of material that forms the specimen
Binding: hl7VS-specimenType (example): The type of the specimen.
... subject SΣ 1..1 Reference(Patient) 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
... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
... parent 0..* Reference(Specimen) Specimen from which this specimen originated
... request 0..* Reference(ServiceRequest) Why the specimen was collected
... collection S 0..1 BackboneElement Collection details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
.... Slices for collected[x] Σ 0..1 Collection time
Slice: Unordered, Closed by type:$this
..... collectedDateTime dateTime
..... collectedPeriod Period
..... collected[x]:collectedDateTime SΣ 0..1 dateTime Tumor Histologiedatum
.... duration Σ 0..1 Duration How long it took to collect specimen
.... quantity 0..1 SimpleQuantity(4.0.1) The quantity of specimen collected
.... method 0..1 CodeableConcept Technique used to perform collection
Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
.... bodySite 0..1 CodeableConcept Anatomical collection site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... fastingStatus[x] Σ 0..1 Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
..... fastingStatusCodeableConcept CodeableConcept
..... fastingStatusDuration Duration
... processing 0..* BackboneElement Processing and processing step details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... description 0..1 string Textual description of procedure
.... procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
.... additive 0..* Reference(Substance) Material used in the processing step
.... time[x] 0..1 Date and time of specimen processing
..... timeDateTime dateTime
..... timePeriod Period
... container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier Σ 0..* Identifier Id for the container
.... description 0..1 string Textual description of the container
.... type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.
.... capacity 0..1 SimpleQuantity(4.0.1) Container volume or size
.... specimenQuantity 0..1 SimpleQuantity(4.0.1) Quantity of specimen within container
.... additive[x] 0..1 Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
..... additiveCodeableConcept CodeableConcept
..... additiveReference Reference(Substance)
... condition SΣ 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Specimen.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Specimen.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Specimen.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Specimen.accessionIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Specimen.accessionIdentifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Specimen.status Base required SpecimenStatus 📍4.0.1 FHIR Std.
Specimen.type Base example hl7VS-specimenType 📦3.0.0 THO v7.3
Specimen.collection.​method Base example FHIR Specimen Collection Method 📍4.0.1 FHIR Std.
Specimen.collection.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Specimen.collection.​fastingStatus[x] Base extensible hl7VS-relevantClincialInformation 📦3.0.0 THO v7.3
Specimen.processing.​procedure Base example Specimen processing procedure 📍4.0.1 FHIR Std.
Specimen.container.type Base example Specimen Container Type 📍4.0.1 FHIR Std.
Specimen.container.additive[x] Base example hl7VS-additivePreservative 📦3.0.0 THO v7.3
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Specimen If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Specimen If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Diese Struktur ist abgeleitet von MII_PR_Onko_Specimen

Summary

Must-Support: 1 element

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... value SΣ 0..1 string Histologie-Einsendenummer
Example General: 123456
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
... subject SΣ 1..1 Reference(Patient) 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
... collection S 0..1 BackboneElement Collection details
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for collected[x] Σ 0..1 Collection time
Slice: Unordered, Closed by type:$this
..... collectedDateTime dateTime
..... collectedPeriod Period
..... collected[x]:collectedDateTime SΣ 0..1 dateTime Tumor Histologiedatum
... condition SΣ 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Specimen.accessionIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Specimen.status Base required SpecimenStatus 📍4.0.1 FHIR Std.
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Specimen If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Specimen If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_Onko_Specimen

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... accessionIdentifier
.... value 0..1 string Histologie-Einsendenummer
... collection
.... Slices for collected[x] Content/Rules for all slices
..... collected[x]:collectedDateTime 0..1 dateTime Tumor Histologiedatum
... condition S 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Specimen 0..* MII_PR_Onko_Specimen Sample for analysis
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Identifier
... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 0..1 string Histologie-Einsendenummer
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
... type Σ 0..1 CodeableConcept Kind of material that forms the specimen
Binding: hl7VS-specimenType (example): The type of the specimen.
... subject SΣ 1..1 Reference(Patient) 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
... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
... parent 0..* Reference(Specimen) Specimen from which this specimen originated
... request 0..* Reference(ServiceRequest) Why the specimen was collected
... collection S 0..1 BackboneElement Collection details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
.... Slices for collected[x] Σ 0..1 Collection time
Slice: Unordered, Closed by type:$this
..... collectedDateTime dateTime
..... collectedPeriod Period
..... collected[x]:collectedDateTime SΣ 0..1 dateTime Tumor Histologiedatum
.... duration Σ 0..1 Duration How long it took to collect specimen
.... quantity 0..1 SimpleQuantity(4.0.1) The quantity of specimen collected
.... method 0..1 CodeableConcept Technique used to perform collection
Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
.... bodySite 0..1 CodeableConcept Anatomical collection site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... fastingStatus[x] Σ 0..1 Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
..... fastingStatusCodeableConcept CodeableConcept
..... fastingStatusDuration Duration
... processing 0..* BackboneElement Processing and processing step details
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... description 0..1 string Textual description of procedure
.... procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
.... additive 0..* Reference(Substance) Material used in the processing step
.... time[x] 0..1 Date and time of specimen processing
..... timeDateTime dateTime
..... timePeriod Period
... container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... identifier Σ 0..* Identifier Id for the container
.... description 0..1 string Textual description of the container
.... type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.
.... capacity 0..1 SimpleQuantity(4.0.1) Container volume or size
.... specimenQuantity 0..1 SimpleQuantity(4.0.1) Quantity of specimen within container
.... additive[x] 0..1 Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
..... additiveCodeableConcept CodeableConcept
..... additiveReference Reference(Substance)
... condition SΣ 0..* CodeableConcept State of the specimen
Binding: MII VS Onkologie KRK TME Qualität (extensible)
... note 0..* Annotation Comments

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Specimen.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Specimen.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Specimen.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Specimen.accessionIdentifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Specimen.accessionIdentifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Specimen.status Base required SpecimenStatus 📍4.0.1 FHIR Std.
Specimen.type Base example hl7VS-specimenType 📦3.0.0 THO v7.3
Specimen.collection.​method Base example FHIR Specimen Collection Method 📍4.0.1 FHIR Std.
Specimen.collection.​bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Specimen.collection.​fastingStatus[x] Base extensible hl7VS-relevantClincialInformation 📦3.0.0 THO v7.3
Specimen.processing.​procedure Base example Specimen processing procedure 📍4.0.1 FHIR Std.
Specimen.container.type Base example Specimen Container Type 📍4.0.1 FHIR Std.
Specimen.container.additive[x] Base example hl7VS-additivePreservative 📦3.0.0 THO v7.3
Specimen.condition Base extensible MII VS Onkologie KRK TME Qualität 📦2027.0.0-ballot.1 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Specimen If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Specimen If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Diese Struktur ist abgeleitet von MII_PR_Onko_Specimen

Summary

Must-Support: 1 element

 

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