Generated Narrative: StructureDefinition ee-vris-reproductive-tissue Name Flags Card. Type Description & Constraints BiologicallyDerivedProduct 0..* BiologicallyDerivedProduct This resource reflects an instance of a biologically derived product #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:cryopreservationDate 0..1 dateTime (ee Külmutamise kuupäev) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-cryopreservation-date #xD; extension:cryopreservationReason 0..1 CodeableConcept (ee Külmutamise põhjus, nt enne onkoloogilist ravi) URL: https://fhir.ee/vris/StructureDefinition/ee-vris-cell-preservation-reason #xD; extension:recipient 0..1 Reference(Patient) (ee Retsipiendi viide. Tavaliselt on retsipient sama isik kes doonor (autoloogne säilitamine).) URL: http://hl7.org/fhir/StructureDefinition/biologicallyderivedproduct-intendedRecipient #xD; productCategory 0..1 Coding (ee Toote kategooria, kude (tissue) KAS SEDA ON VAJA????) #xD; productCode 1..1 CodeableConcept (ee Munandi kude või munasarja kude. NB! Vaja loendit!) Binding: https://fhir.ee/ValueSet/vris-bioloogilise-materjali-liik (required) #xD; parent 0..0 The parent biologically-derived product #xD; request 0..0 Request to obtain and/or infuse this product #xD; biologicalSourceEvent 0..1 Identifier (ee Kas selle kaudu saaks viidata KOGUMISELE/biopsiale vm protseduurile?) #xD; division 0..1 string (ee KAS seda saaks kasutada osaproovide/koetükkide identifikaatoriks?) #xD; productStatus 1..1 Coding available | unavailable #xD; expirationDate 0..0 Date, and where relevant time, of expiration #xD; collection 1..1 BackboneElement How this product was collected #xD; collector 0..1 Reference(Practitioner | PractitionerRole) (ee Kude koguv tervishoiutöötaja) #xD; source 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient) (ee Doonori/patsiendi viide, kellelt kude kogutud. Sama isik on doonor ja tulevane retsipient?) #xD; storageTempRequirements 0..0 Product storage temperature requirements #xD; Slices for property 0..* BackboneElement A property that is specific to this BiologicallyDerviedProduct instance Slice: Unordered, Open by value:type.coding #xD; property:fragmentCount 0..1 BackboneElement A property that is specific to this BiologicallyDerviedProduct instance #xD; type #xD; coding 1..* Coding Code defined by a terminology system Required Pattern: At least the following #xD; system 1..1 uri Identity of the terminology system Fixed Value: https://fhir.ee/ValueSet/vris-tunnuse-tyyp #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: fragment-count #xD; value[x] 1..1 integer (ee Koetükkide arv) #xD; property:frozenFragmentCount 0..1 BackboneElement A property that is specific to this BiologicallyDerviedProduct instance #xD; type #xD; coding 1..* Coding Code defined by a terminology system Required Pattern: At least the following #xD; system 1..1 uri Identity of the terminology system Fixed Value: https://fhir.ee/ValueSet/vris-tunnuse-tyyp #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: frozen-fragment-count #xD; value[x] 1..1 integer (ee Külmutatud koetükkide arv) #xD; property:Role 0..1 BackboneElement A property that is specific to this BiologicallyDerviedProduct instance #xD; type #xD; coding 1..* Coding Code defined by a terminology system Required Pattern: At least the following #xD; system 1..1 uri Identity of the terminology system Fixed Value: https://fhir.ee/ValueSet/vris-tunnuse-tyyp #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: cell-origin-role #xD; value[x] 1..1 CodeableConcept (ee Koe päritolu roll: autoloogne / doonorluseks jne) Binding: https://fhir.ee/ValueSet/vris-suguraku-paritolu-roll (required) #xD; property:collectionMethod 0..1 BackboneElement A property that is specific to this BiologicallyDerviedProduct instance #xD; type #xD; coding 1..* Coding Code defined by a terminology system Required Pattern: At least the following #xD; system 1..1 uri Identity of the terminology system Fixed Value: https://fhir.ee/ValueSet/vris-tunnuse-tyyp #xD; code 1..1 code Symbol in syntax defined by the system Fixed Value: collection-method #xD; value[x] 1..1 CodeableConcept (ee Koe kogumise meetod, nt biopsia) Binding: https://fhir.ee/ValueSet/vris-kogumise-meetod (required) #xD; Documentation for this format
BiologicallyDerivedProduct: EE VRIS Reproductive Tissue
Profile for reproductive tissue (testicular tissue, ovarian tissue). Used mainly for fertility preservation. (ee Bioloogiline materjal (munandi kude, munasarja kude). Kasutatakse peamiselt viljakuse säilitamiseks.)
This resource reflects an instance of a biologically derived product
This resource reflects an instance of a biologically derived product. A material substance originating from a biological entity intended to be transplanted or infused into another (possibly the same) biological entity.
Substances include, but are not limited to: whole blood, bone marrow, organs, and manipulated blood cells.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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()
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
Entity, Role, or Act,Material[classCode= Observation[classCode=OBS, moodCode=EVN]
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
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.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
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).
Text summary of the resource, for human interpretation
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.
Must have either extensions or value[x], not both
Bioloogilise materjali külmutamise kuupäev
(ee Külmutamise põhjus, nt enne onkoloogilist ravi)
(ee Retsipiendi viide. Tavaliselt on retsipient sama isik kes doonor (autoloogne säilitamine).)
The biologicallyderivedproduct-intendedRecipient extension can be used to record the intended recipient of the BiologicallyDerivedProduct to satisfy product traceability requirements, and does not represent administration, nor does it prevent administration to a different recipient at a future date. Further detail on the traceability requirements can be found in the BiologicallyDerivedProduct resource [Intended Recipients](http://hl7.org/fhir/biologicallyderivedproduct.html#intendedrecipient).
The biologicallyderivedproduct-intendedRecipient extension and BiologicallyDerivedProduct.collection.sourcePatient can contain references to identifiable patients. Implementers shall ensure the appropriate data access controls are established.
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
(ee Toote kategooria, kude (tissue) KAS SEDA ON VAJA????)
(ee Munandi kude või munasarja kude. NB! Vaja loendit!)
A codified value that systematically supports characterization and classification of medical products of human origin inclusive of processing conditions such as additives, volumes and handling conditions.
Product Description Code. Required for ISBT 128 labeled products
Parent product (if any) for this biologically-derived product.
For products that have multiple collections. For example Peripheral Blood Stem Cells may be collected over several days from a single donor and the donation split into in multiple containers which must be linked to the parent donation.
Request to obtain and/or infuse this product
Request to obtain and/or infuse this biologically derived product.
Unique instance identifiers assigned to a biologically derived product. Note: This is a business identifier, not a resource identifier.
This identifier should uniquely identify the product instance in the business domain. Ideally it should be a globally unique identifier under the control of an ISO/IEC 15459 Issuing Agency.
MPHO Unique Identifier. Required for ISBT 128 labeled products
(ee Kas selle kaudu saaks viidata KOGUMISELE/biopsiale vm protseduurile?)
An identifier that supports traceability to the event during which material in this product from one or more biological entities was obtained or pooled.
Necessary to support mandatory requirements for traceability from donor/source to recipient and vice versa, while also satisfying donor anonymity requirements. The element is defined consistently across BiologicallyDerivedProduct, NutritionProduct, and Device. The identifier references an event that links to a single biological entity such as a blood donor, or to multiple biological entities (e.g. when the product is an embryo or a pooled platelet product). A single biologicalSourceEvent identifier may appear on multiple products of many types derived from a single donation event or source extraction. As an example, a single donation event may provide 2 kidneys and a liver for organ transplantation, 2 corneas for eye surgery, heart valves and arterial tissue for cardiovascular surgery, multiple skin grafts, tendons, multiple shaped bone grafts and a large number of bone putty/paste products; and each of them may be assigned to the same biological source event identifier.
Donation Identification Number. Required for ISBT 128 labeled products
Processing facilities responsible for the labeling and distribution of this biologically derived product
Processing facilities responsible for the labeling and distribution of this biologically derived product.
Processing Facility Identification Number
(ee KAS seda saaks kasutada osaproovide/koetükkide identifikaatoriks?)
A unique identifier for an aliquot of a product. Used to distinguish individual aliquots of a product carrying the same biologicalSource and productCode identifiers.
Division Identifier. Required for ISBT 128 labeled products
Whether the product is currently available.
Date, and where relevant time, of expiration
Date, and where relevant time, of expiration.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Healthcare professional who is performing the collection.
(ee Doonori/patsiendi viide, kellelt kude kogutud. Sama isik on doonor ja tulevane retsipient?)
The patient or entity, such as a hospital or vendor in the case of a processed/manipulated/manufactured product, providing the product.
Global Registration Identifier for Donors
Product storage temperature requirements
The temperature requirements for storage of the biologically-derived product.
May be extracted from information held in the Product Description Code.
(ee Bioloogilise materjali (koe) omadused)
A property that is specific to this BiologicallyDerviedProduct instance
A property that is specific to this BiologicallyDerviedProduct instance.
Property can be used to provide information on a wide range of additional information specific to a particular biologicallyDerivedProduct.
Code that specifies the property. It should reference an established coding system.
The element is identified by name and system URI in the type. Some types may have multiple occurrences.
Biologically Derived Product Property Type Codes
The value should be provided as a boolean, integer, CodeableConcept, period, quantity, range, ratio, or attachment. The description can be a string only when these others are not available. The type of value will depend on the property type and is specified in ST-027.
Extensions are always sliced by (at least) url
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
(ee Koe päritolu roll: autoloogne / doonorluseks jne)