FHIR Extensions Pack
5.4.0 - May 2026 International flag

FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

Extension: BiologicallyDerivedProduct Manipulation

Official URL: http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation Version: 5.4.0
Standards status: Trial-use Maturity Level: 2 Responsible: HL7 International / Orders and Observations Computable Name: BDPManipulation
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1125

Extension for manipulation of a biologically derived product.

Context of Use

This extension may be used on the following element(s)

Usage info

Usages:

  • This Extension is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Changes since version 5.3.0:

  • No changes
  • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Simple Extension with the type base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta: Extension for manipulation of a biologically derived product.

    Maturity: 2

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Any manipulation of the product post-collection
    Extension.Slices for extension Content/Rules for all slices
    Extension.Slices for extension.extension:description 0..1 Extension Description of manipulation
    Extension.Slices for extension.extension:description.extension 0..0 Extension
    Extension.Slices for extension.extension:description.url 1..1 uri "description"
    Extension.Slices for extension.extension:description.value[x] 1..1 string Value of extension
    Extension.Slices for extension.extension:procedure 0..* Extension Processing procedure
    Extension.Slices for extension.extension:procedure.extension 0..0 Extension
    Extension.Slices for extension.extension:procedure.url 1..1 uri "procedure"
    Extension.Slices for extension.extension:procedure.value[x] 1..1 CodeableReference(Procedure) Value of extension
    Binding: ProcedureCodesSNOMEDCT (example): Biologically Derived Product Procedure.
    Extension.Slices for extension.extension:time[x] 0..1 Extension Time of manipulation
    Extension.Slices for extension.extension:time[x].extension 0..0 Extension
    Extension.Slices for extension.extension:time[x].url 1..1 uri "time[x]"
    Extension.Slices for extension.extension:time[x].value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:time[x].value[x].valueDateTime dateTime
    Extension.Slices for extension.extension:time[x].value[x].valuePeriod Period
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation"

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Any manipulation of the product post-collection
    Extension.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:description 0..1 Extension Description of manipulation
    Extension.Slices for extension.extension:description.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:description.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:description.url 1..1 uri "description"
    Extension.Slices for extension.extension:description.value[x] 1..1 string Value of extension
    Extension.Slices for extension.extension:procedure 0..* Extension Processing procedure
    Extension.Slices for extension.extension:procedure.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:procedure.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:procedure.url 1..1 uri "procedure"
    Extension.Slices for extension.extension:procedure.value[x] 1..1 CodeableReference(Procedure) Value of extension
    Binding: ProcedureCodesSNOMEDCT (example): Biologically Derived Product Procedure.
    Extension.Slices for extension.extension:time[x] 0..1 Extension Time of manipulation
    Extension.Slices for extension.extension:time[x].id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:time[x].extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:time[x].url 1..1 uri "time[x]"
    Extension.Slices for extension.extension:time[x].value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:time[x].value[x].valueDateTime dateTime
    Extension.Slices for extension.extension:time[x].value[x].valuePeriod Period
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation"
    Extension.value[x] 0..1 Value of extension
    Extension.value[x].valueBase64Binary base64Binary
    Extension.value[x].valueBoolean boolean
    Extension.value[x].valueCanonical canonical(Any)
    Extension.value[x].valueCode code
    Extension.value[x].valueDate date
    Extension.value[x].valueDateTime dateTime
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueId id
    Extension.value[x].valueInstant instant
    Extension.value[x].valueInteger integer
    Extension.value[x].valueInteger64 integer64
    Extension.value[x].valueMarkdown markdown
    Extension.value[x].valueOid oid
    Extension.value[x].valuePositiveInt positiveInt
    Extension.value[x].valueString string
    Extension.value[x].valueTime time
    Extension.value[x].valueUnsignedInt unsignedInt
    Extension.value[x].valueUri uri
    Extension.value[x].valueUrl url
    Extension.value[x].valueUuid uuid
    Extension.value[x].valueAddress Address
    Extension.value[x].valueAge Age
    Extension.value[x].valueAnnotation Annotation
    Extension.value[x].valueAttachment Attachment
    Extension.value[x].valueCodeableConcept CodeableConcept
    Extension.value[x].valueCodeableReference CodeableReference
    Extension.value[x].valueCoding Coding
    Extension.value[x].valueContactPoint ContactPoint
    Extension.value[x].valueCount Count
    Extension.value[x].valueDistance Distance
    Extension.value[x].valueDuration Duration
    Extension.value[x].valueHumanName HumanName
    Extension.value[x].valueIdentifier Identifier
    Extension.value[x].valueMoney Money
    Extension.value[x].valuePeriod Period
    Extension.value[x].valueQuantity Quantity
    Extension.value[x].valueRange Range
    Extension.value[x].valueRatio Ratio
    Extension.value[x].valueRatioRange RatioRange
    Extension.value[x].valueReference Reference(Any)
    Extension.value[x].valueSampledData SampledData
    Extension.value[x].valueSignature Signature
    Extension.value[x].valueTiming Timing
    Extension.value[x].valueContactDetail ContactDetail
    Extension.value[x].valueDataRequirement DataRequirement
    Extension.value[x].valueExpression Expression
    Extension.value[x].valueParameterDefinition ParameterDefinition
    Extension.value[x].valueRelatedArtifact RelatedArtifact
    Extension.value[x].valueTriggerDefinition TriggerDefinition
    Extension.value[x].valueUsageContext UsageContext
    Extension.value[x].valueAvailability Availability
    Extension.value[x].valueExtendedContactDetail ExtendedContactDetail
    Extension.value[x].valueDosage Dosage
    Extension.value[x].valueMeta Meta

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta: Extension for manipulation of a biologically derived product.

    Maturity: 2

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Any manipulation of the product post-collection
    Extension.Slices for extension Content/Rules for all slices
    Extension.Slices for extension.extension:description 0..1 Extension Description of manipulation
    Extension.Slices for extension.extension:description.extension 0..0 Extension
    Extension.Slices for extension.extension:description.url 1..1 uri "description"
    Extension.Slices for extension.extension:description.value[x] 1..1 string Value of extension
    Extension.Slices for extension.extension:procedure 0..* Extension Processing procedure
    Extension.Slices for extension.extension:procedure.extension 0..0 Extension
    Extension.Slices for extension.extension:procedure.url 1..1 uri "procedure"
    Extension.Slices for extension.extension:procedure.value[x] 1..1 CodeableReference(Procedure) Value of extension
    Binding: ProcedureCodesSNOMEDCT (example): Biologically Derived Product Procedure.
    Extension.Slices for extension.extension:time[x] 0..1 Extension Time of manipulation
    Extension.Slices for extension.extension:time[x].extension 0..0 Extension
    Extension.Slices for extension.extension:time[x].url 1..1 uri "time[x]"
    Extension.Slices for extension.extension:time[x].value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:time[x].value[x].valueDateTime dateTime
    Extension.Slices for extension.extension:time[x].value[x].valuePeriod Period
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation"

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Any manipulation of the product post-collection
    Extension.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:description 0..1 Extension Description of manipulation
    Extension.Slices for extension.extension:description.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:description.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:description.url 1..1 uri "description"
    Extension.Slices for extension.extension:description.value[x] 1..1 string Value of extension
    Extension.Slices for extension.extension:procedure 0..* Extension Processing procedure
    Extension.Slices for extension.extension:procedure.id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:procedure.extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:procedure.url 1..1 uri "procedure"
    Extension.Slices for extension.extension:procedure.value[x] 1..1 CodeableReference(Procedure) Value of extension
    Binding: ProcedureCodesSNOMEDCT (example): Biologically Derived Product Procedure.
    Extension.Slices for extension.extension:time[x] 0..1 Extension Time of manipulation
    Extension.Slices for extension.extension:time[x].id 0..1 id Unique id for inter-element referencing
    Extension.Slices for extension.extension:time[x].extension 0..0 Extension
    Slice: Unordered, Open by value:url

    Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
    Extension.Slices for extension.extension:time[x].url 1..1 uri "time[x]"
    Extension.Slices for extension.extension:time[x].value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:time[x].value[x].valueDateTime dateTime
    Extension.Slices for extension.extension:time[x].value[x].valuePeriod Period
    Extension.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation"
    Extension.value[x] 0..1 Value of extension
    Extension.value[x].valueBase64Binary base64Binary
    Extension.value[x].valueBoolean boolean
    Extension.value[x].valueCanonical canonical(Any)
    Extension.value[x].valueCode code
    Extension.value[x].valueDate date
    Extension.value[x].valueDateTime dateTime
    Extension.value[x].valueDecimal decimal
    Extension.value[x].valueId id
    Extension.value[x].valueInstant instant
    Extension.value[x].valueInteger integer
    Extension.value[x].valueInteger64 integer64
    Extension.value[x].valueMarkdown markdown
    Extension.value[x].valueOid oid
    Extension.value[x].valuePositiveInt positiveInt
    Extension.value[x].valueString string
    Extension.value[x].valueTime time
    Extension.value[x].valueUnsignedInt unsignedInt
    Extension.value[x].valueUri uri
    Extension.value[x].valueUrl url
    Extension.value[x].valueUuid uuid
    Extension.value[x].valueAddress Address
    Extension.value[x].valueAge Age
    Extension.value[x].valueAnnotation Annotation
    Extension.value[x].valueAttachment Attachment
    Extension.value[x].valueCodeableConcept CodeableConcept
    Extension.value[x].valueCodeableReference CodeableReference
    Extension.value[x].valueCoding Coding
    Extension.value[x].valueContactPoint ContactPoint
    Extension.value[x].valueCount Count
    Extension.value[x].valueDistance Distance
    Extension.value[x].valueDuration Duration
    Extension.value[x].valueHumanName HumanName
    Extension.value[x].valueIdentifier Identifier
    Extension.value[x].valueMoney Money
    Extension.value[x].valuePeriod Period
    Extension.value[x].valueQuantity Quantity
    Extension.value[x].valueRange Range
    Extension.value[x].valueRatio Ratio
    Extension.value[x].valueRatioRange RatioRange
    Extension.value[x].valueReference Reference(Any)
    Extension.value[x].valueSampledData SampledData
    Extension.value[x].valueSignature Signature
    Extension.value[x].valueTiming Timing
    Extension.value[x].valueContactDetail ContactDetail
    Extension.value[x].valueDataRequirement DataRequirement
    Extension.value[x].valueExpression Expression
    Extension.value[x].valueParameterDefinition ParameterDefinition
    Extension.value[x].valueRelatedArtifact RelatedArtifact
    Extension.value[x].valueTriggerDefinition TriggerDefinition
    Extension.value[x].valueUsageContext UsageContext
    Extension.value[x].valueAvailability Availability
    Extension.value[x].valueExtendedContactDetail ExtendedContactDetail
    Extension.value[x].valueDosage Dosage
    Extension.value[x].valueMeta Meta

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.extension:procedure.​value[x] Base example Procedure Codes (SNOMED CT) 📦5.0.0 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression
    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()

    R4B

    The extension is unchanged in R4B

    R4

    The extension is represented a little differently in R4:

    • Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
    • Note: Extensions that have been modified for R4 are still draft while real-world experience is collected
    Name Flags Card. Type Description & Constraints      Filter: doco
    Extension 0..* Extension Any manipulation of the product post-collection
    Extension. Slices for extension Content/Rules for all slices
    Extension.Slices for extension. extension:description 0..1 Extension Description of manipulation
    Extension.Slices for extension.extension:description. extension 0 .. 0 Extension
    Extension.Slices for extension.extension:description. url 1 .. 1 uri "description"
    Extension.Slices for extension.extension:description. value[x] 1.. 1 string Value of extension
    Extension.Slices for extension. extension:procedure 0..* Extension Processing procedure
    Extension.Slices for extension.extension:procedure. Slices for extension 0 ..* Extension Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:procedure. Slices for extension Content/Rules for all slices
    Extension.Slices for extension.extension:procedure.Slices for extension. extension:_datatype 1..1 (Complex) DataType name 'CodeableReference' from R5
    URL: http://hl7.org/fhir/StructureDefinition/_datatype
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:_datatype. value[x] 1.. 1 string Value of extension
    Fixed Value: CodeableReference
    Extension.Slices for extension.extension:procedure.Slices for extension. extension:concept 0..1 Extension Reference to a concept (by class)
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:concept. extension 0 .. 0 Extension
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:concept. url 1 .. 1 uri "concept"
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:concept. value[x] 1.. 1 CodeableConcept Value of extension
    Binding: ProcedureCodesSNOMEDCT ( example ) : Biologically Derived Product Procedure.
    Extension.Slices for extension.extension:procedure.Slices for extension. extension:reference 0..1 Extension Reference to a resource (by instance)
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:reference. extension 0 .. 0 Extension
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:reference. url 1 .. 1 uri "reference"
    Extension.Slices for extension.extension:procedure.Slices for extension.extension:reference. value[x] 1.. 1 Reference () Value of extension
    Extension.Slices for extension.extension:procedure. url 1 .. 1 uri "procedure"
    Extension.Slices for extension.extension:procedure. value[x] 0 .. 0 Value of extension
    Binding: ProcedureCodesSNOMEDCT ( example ) : Biologically Derived Product Procedure.
    Extension.Slices for extension. extension:time[x] 0..1 Extension Time of manipulation
    Extension.Slices for extension.extension:time[x]. extension 0 .. 0 Extension
    Extension.Slices for extension.extension:time[x]. url 1 .. 1 uri "time[x]"
    Extension.Slices for extension.extension:time[x]. value[x] 1.. 1 Value of extension
    Extension.Slices for extension.extension:time[x].value[x]. valueDateTime dateTime
    Extension.Slices for extension.extension:time[x].value[x]. valuePeriod Period
    Extension. url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-manipulation"

    doco Documentation for this format

    R3

    The extension is not used in R3

    • There are no valid contexts for this extension

    Search Parameters for this Extension

    (none found)