{ "description": "Dieses Profil ermöglicht Angaben zur Probe.", "_filename": "StructureDefinition-Specimen.json", "package_name": "rki.demis.ars", "date": "2025-06-13", "derivation": "constraint", "publisher": "ARS@rki.de", "fhirVersion": "4.0.1", "name": "Specimen", "abstract": false, "type": "Specimen", "experimental": "false", "resourceType": "StructureDefinition", "title": "Probe", "package_version": "1.0.0-rc.2", "status": "active", "id": "bbcf257b-fd85-45e0-87cf-afa067e66f41", "kind": "resource", "url": "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen", "version": "1.0.0", "differential": { "element": [ { "id": "Specimen.id", "min": 1, "path": "Specimen.id", "mustSupport": true }, { "id": "Specimen.meta", "min": 1, "path": "Specimen.meta", "mustSupport": true }, { "id": "Specimen.meta.id", "max": "0", "path": "Specimen.meta.id" }, { "id": "Specimen.meta.extension", "max": "0", "path": "Specimen.meta.extension" }, { "id": "Specimen.meta.versionId", "max": "0", "path": "Specimen.meta.versionId" }, { "id": "Specimen.meta.lastUpdated", "max": "0", "path": "Specimen.meta.lastUpdated" }, { "id": "Specimen.meta.source", "max": "0", "path": "Specimen.meta.source" }, { "id": "Specimen.meta.profile", "min": 1, "path": "Specimen.meta.profile", "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "pattern" } ] }, "mustSupport": true }, { "id": "Specimen.meta.profile:arsProfile", "max": "1", "min": 1, "path": "Specimen.meta.profile", "sliceName": "arsProfile", "mustSupport": true, "patternCanonical": "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen" }, { "id": "Specimen.meta.security", "max": "0", "path": "Specimen.meta.security" }, { "id": "Specimen.meta.tag", "max": "0", "path": "Specimen.meta.tag" }, { "id": "Specimen.identifier", "max": "0", "path": "Specimen.identifier" }, { "id": "Specimen.accessionIdentifier", "min": 1, "path": "Specimen.accessionIdentifier", "short": "Probennummer", "definition": "Originalprobennummer aus dem Labor. Es ist der einzige Identifier, der unverändert aus dem Labor übernommen wird. Er dient zur Kommunikation mit dem Labor im Zuge des Datenqualitätsmanagement.", "mustSupport": true }, { "id": "Specimen.accessionIdentifier.use", "max": "0", "path": "Specimen.accessionIdentifier.use" }, { "id": "Specimen.accessionIdentifier.type", "max": "0", "path": "Specimen.accessionIdentifier.type" }, { "id": "Specimen.accessionIdentifier.system", "min": 1, "path": "Specimen.accessionIdentifier.system", "mustSupport": true }, { "id": "Specimen.accessionIdentifier.value", "min": 1, "path": "Specimen.accessionIdentifier.value", "mustSupport": true }, { "id": "Specimen.accessionIdentifier.period", "max": "0", "path": "Specimen.accessionIdentifier.period" }, { "id": "Specimen.accessionIdentifier.assigner", "max": "0", "path": "Specimen.accessionIdentifier.assigner" }, { "id": "Specimen.status", "max": "0", "path": "Specimen.status" }, { "id": "Specimen.type", "min": 1, "path": "Specimen.type", "short": "Probenmaterial", "definition": "Es wird über einen SNOMED-Code die Probe beschrieben, die im Labor ankommt. Siehe hierzu auch Kapitel 'Semantik' im Implementierungsleitfaden. Über das Feld Specimen.collection.bodySite kann die Probe hinsichtlich des Abnahmeortes weiter spezifiziert werden.", "mustSupport": true }, { "id": "Specimen.type.coding", "max": "1", "min": 1, "path": "Specimen.type.coding", "binding": { "strength": "extensible", "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/materialSNOMED" }, "mustSupport": true }, { "id": "Specimen.type.coding.system", "min": 1, "path": "Specimen.type.coding.system", "mustSupport": true }, { "id": "Specimen.type.coding.version", "min": 1, "path": "Specimen.type.coding.version", "mustSupport": true }, { "id": "Specimen.type.coding.code", "min": 1, "path": "Specimen.type.coding.code", "mustSupport": true }, { "id": "Specimen.type.text", "path": "Specimen.type.text", "short": "Originalbezeichnung", "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.", "mustSupport": true }, { "id": "Specimen.subject", "min": 1, "path": "Specimen.subject", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/Patient" ] } ], "mustSupport": true }, { "id": "Specimen.subject.reference", "min": 1, "path": "Specimen.subject.reference", "mustSupport": true }, { "id": "Specimen.subject.type", "max": "0", "path": "Specimen.subject.type" }, { "id": "Specimen.subject.identifier", "max": "0", "path": "Specimen.subject.identifier" }, { "id": "Specimen.subject.display", "max": "0", "path": "Specimen.subject.display" }, { "id": "Specimen.receivedTime", "min": 1, "path": "Specimen.receivedTime", "short": "Probeneingangsdatum", "definition": "Eingangsdatum der Probe im Labor.", "mustSupport": true }, { "id": "Specimen.parent", "max": "0", "path": "Specimen.parent" }, { "id": "Specimen.request", "path": "Specimen.request", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/ServiceRequest" ] } ], "mustSupport": true }, { "id": "Specimen.request.reference", "min": 1, "path": "Specimen.request.reference", "mustSupport": true }, { "id": "Specimen.request.type", "max": "0", "path": "Specimen.request.type" }, { "id": "Specimen.request.identifier", "max": "0", "path": "Specimen.request.identifier" }, { "id": "Specimen.request.display", "max": "0", "path": "Specimen.request.display" }, { "id": "Specimen.collection", "min": 1, "path": "Specimen.collection", "mustSupport": true }, { "id": "Specimen.collection.extension", "max": "1", "path": "Specimen.collection.extension", "slicing": { "rules": "open", "ordered": false, "discriminator": [ { "path": "url", "type": "value" } ] }, "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite", "max": "1", "min": 0, "path": "Specimen.collection.extension", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/bodySite" ] } ], "sliceName": "bodySite", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.id", "max": "0", "path": "Specimen.collection.extension.id" }, { "id": "Specimen.collection.extension:bodySite.url", "path": "Specimen.collection.extension.url", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]", "path": "Specimen.collection.extension.value[x]", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/BodyStructure" ] } ], "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] }, "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference", "max": "1", "min": 1, "path": "Specimen.collection.extension.value[x]", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/BodyStructure" ] } ], "sliceName": "valueReference", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.reference", "min": 1, "path": "Specimen.collection.extension.value[x].reference", "mustSupport": true }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.type", "max": "0", "path": "Specimen.collection.extension.value[x].type" }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.identifier", "max": "0", "path": "Specimen.collection.extension.value[x].identifier" }, { "id": "Specimen.collection.extension:bodySite.value[x]:valueReference.display", "max": "0", "path": "Specimen.collection.extension.value[x].display" }, { "id": "Specimen.collection.collector", "min": 1, "path": "Specimen.collection.collector", "type": [ { "code": "Reference", "targetProfile": [ "https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleInpatientOrganization", "https://demis.rki.de/fhir/ars/StructureDefinition/PractitionerRoleOutpatientOrganization" ] } ], "mustSupport": true }, { "id": "Specimen.collection.collector.reference", "min": 1, "path": "Specimen.collection.collector.reference", "mustSupport": true }, { "id": "Specimen.collection.collector.type", "max": "0", "path": "Specimen.collection.collector.type" }, { "id": "Specimen.collection.collector.identifier", "max": "0", "path": "Specimen.collection.collector.identifier" }, { "id": "Specimen.collection.collector.display", "max": "0", "path": "Specimen.collection.collector.display" }, { "id": "Specimen.collection.collected[x]", "min": 1, "path": "Specimen.collection.collected[x]", "slicing": { "rules": "closed", "discriminator": [ { "path": "$this", "type": "type" } ] }, "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedDateTime", "max": "1", "min": 0, "path": "Specimen.collection.collected[x]", "type": [ { "code": "dateTime" } ], "sliceName": "collectedDateTime", "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod", "max": "1", "min": 0, "path": "Specimen.collection.collected[x]", "type": [ { "code": "Period" } ], "sliceName": "collectedPeriod", "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod.start", "min": 1, "path": "Specimen.collection.collected[x].start", "mustSupport": true }, { "id": "Specimen.collection.collected[x]:collectedPeriod.end", "min": 1, "path": "Specimen.collection.collected[x].end", "mustSupport": true }, { "id": "Specimen.collection.duration", "max": "0", "path": "Specimen.collection.duration" }, { "id": "Specimen.collection.quantity", "max": "0", "path": "Specimen.collection.quantity" }, { "id": "Specimen.collection.method", "max": "0", "path": "Specimen.collection.method" }, { "id": "Specimen.collection.bodySite", "path": "Specimen.collection.bodySite", "short": "Abnahmeort", "definition": "In Ergänzung zum Probenmaterial in Specimen.type kann die Probe hinsichtlich des Abnahmeortes weiter spezifiziert werden. Siehe hierzu auch Kapitel 'Semantik' im Implementierungsleitfaden.", "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding", "max": "1", "min": 1, "path": "Specimen.collection.bodySite.coding", "binding": { "strength": "extensible", "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/abnahmeortSNOMED" }, "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding.system", "min": 1, "path": "Specimen.collection.bodySite.coding.system", "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding.version", "min": 1, "path": "Specimen.collection.bodySite.coding.version", "mustSupport": true }, { "id": "Specimen.collection.bodySite.coding.code", "min": 1, "path": "Specimen.collection.bodySite.coding.code", "mustSupport": true }, { "id": "Specimen.collection.bodySite.text", "path": "Specimen.collection.bodySite.text", "short": "Originalbezeichnung", "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.", "mustSupport": true }, { "id": "Specimen.collection.fastingStatus[x]", "max": "0", "path": "Specimen.collection.fastingStatus[x]" }, { "id": "Specimen.processing", "max": "0", "path": "Specimen.processing" }, { "id": "Specimen.container", "max": "0", "path": "Specimen.container" }, { "id": "Specimen.condition", "max": "0", "path": "Specimen.condition" }, { "id": "Specimen.note", "max": "0", "path": "Specimen.note" } ] }, "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Specimen" }