A sample to be used for analysis.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

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.

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Идентификатор конкретной версии, который отображается в части URL, относящейся к версии. Это значение изменяется при создании, обновлении или удалении ресурса.

Сервер присваивает это значение и игнорирует то, что указывает клиент, за исключением случая, когда сервер устанавливает целостность версии при обновлении/удалении.

Когда ресурс менялся в последний раз - например, когда изменилась версия.

Этот элемент обычно опускается в экземплярах, отправляемых с помощью PUT или POST. Вместо этого он заполняется в экземпляре ответа и при получении информации с помощью GET. Это значение задается менеджером сервера / ресурсов; то, что предоставляет клиент, не имеет значения. Это эквивалентно последнему изменению HTTP и должно иметь такое же значение при взаимодействии read.

uri, который идентифицирует систему-источник ресурса. Он предоставляет минимальный объем информации о [Provenance] (provenance.html#), которую можно использовать для отслеживания или определения источника информации на ресурсе. Источник может идентифицировать другой сервер FHIR, документ, сообщение, базу данных и т.д.

Точное использование источника (и возможное подразумеваемое Provenance.entity.role и agent.role) остается на усмотрение разработчика. Допускается только один указанный источник; для получения дополнительной информации о происхождении следует использовать полный источник. Источник может соответствовать Provenance.entity.what[x] или Provenance.agent.who[x], хотя это может быть и более общая или абстрактная ссылка.

Этот элемент может использоваться для указания текущего главного источника ресурса, имеющего канонический URL-адрес, если ресурс больше не размещен по каноническому URL-адресу.

Список профилей (ссылок на StructureDefinition ресурсы), которым, как утверждается, соответствует этот ресурс. URL-адрес является ссылкой на StructureDefinition.url.

Сервер и/или другая инфраструктура политики должны определять, проверяются ли и/или обновляются ли эти утверждения с течением времени. Список URL-адресов профиля представляет собой набор.

Метки безопасности, применяемые к данному ресурсу. Эти метки связывают определенные ресурсы с общей политикой безопасности и инфраструктурой.

Метки безопасности могут быть обновлены без изменения указанной версии ресурса. Список меток безопасности представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.

Защитные этикетки из системы классификации конфиденциальности и безопасности в сфере здравоохранения.

Теги, применяемые к этому ресурсу. Теги предназначены для идентификации ресурсов и соотнесения их с процессами и документооборотом, и приложения не обязаны учитывать теги при интерпретации значения ресурса.

Теги могут быть обновлены без изменения заявленной версии ресурса. Список тегов представляет собой набор. Уникальность основана на системе/коде, а версия и отображение игнорируются.

Коды, представляющие различные типы тегов, обычно связанные с рабочим процессом; например, "Требуется проверка доктором Джонсом".

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.

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 its narrative along with other profiles, value sets, etc.

The base language in which the resource is written.

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).

Языковой тег IETF для человеческого языка

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.

Contained resources do not have a 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.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

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.

An Extension

Штрихкод

An Extension

Id for specimen.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

Назначение этого идентификатора.

Приложения могут предполагать, что идентификатор является постоянным, если в нем явно не указано, что он временный.

Определяет назначение этого идентификатора, если оно известно.

Позволяет выбрать соответствующий идентификатор для конкретного контекста использования из набора идентификаторов.

Кодированный тип идентификатора, который может быть использован для определения того, какой идентификатор следует использовать для определенной цели..

Этот элемент относится только к общим категориям идентификаторов. Его не следует использовать для кодов, которые соответствуют 1..1 идентификатору.system. Некоторые идентификаторы могут быть разделены на несколько категорий из-за общего использования. Там, где система известна, тип не требуется, поскольку тип всегда является частью определения системы. Однако системам часто приходится обрабатывать идентификаторы, когда система неизвестна. Между типом и системой не существует соотношения 1:1, поскольку многие различные системы имеют один и тот же тип.

Кодированный тип идентификатора, который может быть использован для определения того, какой идентификатор следует использовать для определенной цели..

Позволяет пользователям использовать идентификаторы, когда система идентификации неизвестна.

Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Период времени, в течение которого идентификатор является/был действителен для использования.

Organization that issued/manages the identifier.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

Ссылка на структурное подразделение

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.

Ресурс (или, для логических моделей, URI логической модели).

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

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.

The availability of the specimen.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Codes providing the status/availability of a specimen.

The kind of material that forms the specimen.

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.

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Ссылка на код в справочнике НСИ Терминология.

Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.

Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Идентификация кодовой системы, которая определяет значение символа в коде.

URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.

Необходимо четко указать источник определения символа.

Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.

В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.

Код.

Необходимо обратиться к определенному коду в системе.

Представление значения кода в системе в соответствии с правилами системы.

Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.

Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..

Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под "прямым выбором", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).

Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.

Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.

Очень часто текст совпадает с отображаемым именем одной из кодировок.

Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.

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, a biologically-derived product, or a device.

Must know the subject context.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.

Ресурс (или, для логических моделей, URI логической модели).

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Time when specimen is received by the testing laboratory for processing or testing.

Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.

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.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.

Ресурс (или, для логических моделей, URI логической модели).

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Details concerning a service request that required a specimen to be collected.

The request may be explicit or implied such with a ServiceRequest that requires a blood draw.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.

Ресурс (или, для логических моделей, URI логической модели).

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

This element signifies if the specimen is part of a group or pooled.

Codes for the combined status of a specimen.

The role or reason for the specimen in the testing workflow.

Codes describing specimen role.

A physical feature or landmark on a specimen, highlighted for context by the collector of the specimen (e.g. surgeon), that identifies the type of feature as well as its meaning (e.g. the red ink indicating the resection margin of the right lobe of the excised prostate tissue or wire loop at radiologically suspected tumor location).

Details concerning the specimen collection.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

An Extension

Person who collected the specimen.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a known RESTful URL) or by resolving the target of the reference.

Ресурс (или, для логических моделей, URI логической модели).

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

This element only allows for a single identifier. In the case where additional identifers are required, use the http://hl7.org/fhir/StructureDefinition/additionalIdentifier extension.

Plain text narrative that identifies the resource in addition to the resource reference.

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Time when specimen was collected from subject - the physiologically relevant time.

The span of time over which the collection of a specimen occurred.

The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

The value of the measured amount. The value includes an implicit precision in the presentation of the 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).

Precision is handled implicitly in almost all cases of measurement.

Not allowed to be used in this context

Как следует понимать и представлять это количество.

Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.

A human-readable form of the unit.

There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.

The identification of the system that provides the coded form of the unit.

Need to know the system that defines the coded form of the unit.

A computer processable form of the unit in some unit representation system.

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.

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.

A coded value specifying the technique that is used to perform the procedure.

The technique that is used to perform the procedure.

A coded value specifying the technique that is used to perform the procedure.

The device that was used to obtain the specimen (e.g. a catheter or catheter part used to draw the blood via a central line).

The procedure event during which the specimen was collected (e.g. the surgery leading to the collection of a pathology sample).

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.

Reasons for using BodyStructure reference include: 1.) Need to identify a specific site instance (e.g. a specific mole), 2.) a single pre-coordinated coded concept for the body site does not exist, 3.) a desire to represent bodySite using multiple attributes (e.g. modifiers).

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Ссылка на концепцию - например, информация идентифицируется по ее общему классу с той степенью точности, которая предусмотрена терминологией.

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Ссылка на код в справочнике НСИ Терминология.

Коды могут быть определены очень небрежно в перечислениях или списках кодов, вплоть до очень формальных определений, таких как SNOMED CT - смотрите HL7 v3 Core Principles для получения дополнительной информации. Порядок кодировок не определен и НЕ должен использоваться для определения значения. Как правило, самое большее только одно из значений кодировки будет помечено как UserSelected = true.

Позволяет использовать альтернативные кодировки в рамках одной системы кодирования и переводить их в другие системы кодирования.

Уникальный идентификатор элемента в ресурсе (для внутренних ссылок). Это может быть любое строковое значение, не содержащее пробелов.

An Extension

Идентификация кодовой системы, которая определяет значение символа в коде.

URI может быть OID (urn:oid:...) или UUID (urn:uuid:...). Идентификаторы и UUID-коды ДОЛЖНЫ быть ссылками на реестр OID HL7. В противном случае URI должен быть взят из списка специальных URI, определенных FHIR в HL7, или он должен быть абсолютной ссылкой на какое-либо определение, которое четко и недвусмысленно устанавливает систему.

Необходимо четко указать источник определения символа.

Версия системы кодирования, которая использовалась при выборе этого кода. Обратите внимание, что для хорошо поддерживаемой системы кодирования не требуется указывать версию, поскольку значение кодов в разных версиях одинаково. Однако это не может быть гарантировано последовательно, и если нет гарантии, что значение будет непротиворечивым, следует заменить версию.

В тех случаях, когда терминология четко не определяет, какую строку следует использовать для идентификации версий системы кодирования, рекомендуется использовать в качестве даты версии дату (выраженную в формате даты FHIR), когда эта версия была официально опубликована.

Код.

Необходимо обратиться к определенному коду в системе.

Представление значения кода в системе в соответствии с правилами системы.

Необходимо иметь возможность передавать значение кода, понятное человеку, для читателей, которые не знакомы с системой.

Указывает на то, что данная кодировка была выбрана непосредственно пользователем - например, из списка доступных сущностей(кодов или отображений)..

Из множества альтернативных вариантов код, выбранный непосредственно, является наиболее подходящей отправной точкой для новых переводов. Существует некоторая неясность в отношении того, что именно подразумевается под "прямым выбором", и может потребоваться соглашение с торговым партнером, чтобы более полно разъяснить использование этого элемента и его последствия (коды или отображения).

Это было определено как критерий клинической безопасности - то, что именно эта пара система/код была выбрана явно, а не выведена системой на основе каких-либо правил или языковой обработки.

Представление концепции на человеческом языке, увиденное/выбранное/произнесенное пользователем, который ввел данные, и/или представляющее предполагаемый смысл пользователя.

Очень часто текст совпадает с отображаемым именем одной из кодировок.

Коды из терминологии не всегда отражают правильное значение со всеми нюансами, присущими человеку, который их использует, а иногда вообще не содержат соответствующего кода. В этих случаях используется текст, чтобы полностью передать значение источника.

Ссылка на ресурс, который содержит точные сведения об информации, на которую ссылаются.

Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.

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 asObservation.component code` = LOINC 49541-6 (Fasting status - Reported).

Codes describing the fasting status of the patient.

Many diagnostic tests require fasting to facilitate accurate interpretation.

Details concerning processing and processing steps for the specimen.

The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.

A mode or state of being that describes the nature of the specimen.

Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess its quality or appropriateness for a specific test.

Codes describing the state of the specimen.

The specimen condition can be used to assess its quality or appropriateness for a specific test.

To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

The individual responsible for making the annotation.

Organization is used when there's no need for specific attribution as to who made the comment.

Indicates when this particular annotation was made.

The text of the annotation in markdown format.