臺灣核心實作指引(TW Core IG)
0.3.1 - Ci-Build Trial Use

臺灣核心實作指引(TW Core IG), published by 衛生福利部. This guide is not an authorized publication; it is the continuous build for version 0.3.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cctwFHIRterm/MOHW_TWCoreIG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: TWCoreSpecimen - Detailed Descriptions

Active as of 2024-10-22

Definitions for the Specimen-twcore resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Specimen
Definition

用於分析的檢體

Short用於分析的檢體
2. Specimen.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

Short不重複的ID用以識別儲存在特定FHIR Server中的Specimen紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

4. Specimen.meta
Definition

關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

Short此Specimen Resource的metadata
6. Specimen.implicitRules
Definition

構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

Short創建此內容所依據的一組規則
Comments

宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

8. Specimen.language
Definition

編寫此resource的語言

Short用以表述Specimen Resource內容的語言。
Comments

提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

Additional BindingsPurpose
AllLanguagesMax Binding
Example<br/><b>Value</b>:zh-TW
10. Specimen.text
Definition

人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

ShortSpecimen Resource之內容摘要以供人閱讀
Comments

內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

12. Specimen.identifier
Definition

檢體的ID

Short檢體的外部識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Must Supporttrue
14. Specimen.accessionIdentifier
Definition

當實驗室接收檢體時,會給檢體一個特定的編號。這個編號和檢體本身的識別碼可能不一樣,這取決於每個實驗室的操作方式。

Short實驗室指定的識別碼
16. Specimen.status
Definition

檢體的可取得性

Comments

此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。

BindingThe codes SHALL be taken from SpecimenStatus
(required to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1)

檢體的可取得性;應填入所綁定值集中的其中一個代碼。

18. Specimen.type
Definition

檢體是由什麼類型的物質組成的

Short檢體的種類
Comments

檢體的類型會影響其處理方式,並決定了可以對檢體進行哪些適當的分析。這在診斷工作流程的決策系統中經常被使用。

BindingUnless not suitable, these codes SHALL be taken from hl7VS-specimenType
(extensible to http://terminology.hl7.org/ValueSet/v2-0487)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
Must Supporttrue
20. Specimen.subject
Definition

檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。

Short檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。
Control1..?
TypeReference(TW Core Patient, Group, Device, Substance, TW Core Location)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Requirements

必須了解檢體取得對象的情境背景

22. Specimen.receivedTime
Definition

收到檢體進行處理或檢驗的時間

Short收到此檢體進行處理的時間
24. Specimen.parent
Definition

母體(來源)檢體的參考,當檢體來自另一檢體或為另一檢體的組成部分時使用。

Short此檢體的來源檢體
Comments

母樣本可以是當前檢體通過某些處理步驟(如等分、分離或從臨床樣本中提取核酸)獲得的來源,也可以是合併成集合樣本的許多樣本之一。

TypeReference(TW Core Specimen)
26. Specimen.request
Definition

需要採集檢體的服務請求的相關細節

Short採集檢體的原因
Comments

請求可以是明確的,也可以是隱含的,例如需要抽血採樣的服務請求(ServiceRequest)。

28. Specimen.collection
Definition

有關檢體採集的詳細資訊

Short採集細節
30. Specimen.collection.collector
Definition

採集檢體的人員

Short誰採集了檢體
TypeReference(TW Core Practitioner, TW Core PractitionerRole)
32. Specimen.collection.collected[x]
Definition

從檢體對象採集檢體的時間--生理相關時間。生理相關時間是指生理狀態或生物活動達到特定條件或狀態時所收集的時間點。

Short採集檢體的時間
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
34. Specimen.collection.duration
Definition

採集檢體的時間長度

Short採集檢體需要多長時間
36. Specimen.collection.quantity
Definition

檢體採集的數量,例如:血樣的體積,或測量解剖病理樣本的實際尺寸或特性。

Short採集檢體的數量
38. Specimen.collection.method
Definition

一個編碼值,具體說明用於執行此程序的技術。

Short用於執行檢體採集的技術
BindingUnless not suitable, these codes SHALL be taken from FHIRSpecimenCollectionMethod
(extensible to http://hl7.org/fhir/ValueSet/specimen-collection-method)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
40. Specimen.collection.bodySite
Definition

檢體採集的解剖位置(如果檢體對象是病人),這是指目標部位,此資料項目不適用於環境檢體。

Short解剖採集部位
Comments

如果特定的使用情境需要將 BodySite 視為一個獨立的 resource,而不是內置的資料項目(例如:需要單獨辨識和追蹤),那麼可以使用名為 bodySite 的擴充資料項目來處理它。

BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
(extensible to http://hl7.org/fhir/ValueSet/body-site)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
42. Specimen.collection.fastingStatus[x]
Definition

在採集檢體前的一段時間內,禁食或減少部分或全部食物、飲料或兩者。

Short病人是否禁食/禁飲料,或禁食/禁飲料多長時間
Comments

比起使用Observation.code=LOINC 2005-7(2小時尿液中的鈣[Moles/​time] - 禁食12小時)或者使用Observation.component code = LOINC 49541-6(禁食狀態 - 報告)這樣的「先組合配對/前組合式(pre-coordinated)」代碼,更推薦使用此資料項目來表示禁食狀態。

BindingUnless not suitable, these codes SHALL be taken from hl7VS-relevantClincialInformation
(extensible to http://terminology.hl7.org/ValueSet/v2-0916)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeChoice of: CodeableConcept(TW CodeableConcept), Duration
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Requirements

許多診斷測試需要禁食,以便準確判讀。

44. Specimen.processing
Definition

有關檢體處理和處理步驟的細節資訊

Short處理和處理步驟細節
46. Specimen.processing.description
Definition

程序的文字描述

Short程序的文字描述
48. Specimen.processing.procedure
Definition

一個編碼值,具體說明用於處理檢體的程序。

Short表明應用於檢體的處理步驟
BindingFor example codes, see SpecimenProcessingProcedure
(example to http://hl7.org/fhir/ValueSet/specimen-processing-procedure)

可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

TypeCodeableConcept(TW CodeableConcept)
50. Specimen.processing.additive
Definition

處理步驟中使用的物質

Short處理步驟中使用的物質
52. Specimen.processing.time[x]
Definition

記錄了進行檢體處理的具體時間或持續期間。例如,可以是檢體進行固定處理的時間,或者檢體浸泡在福馬林(formalin)中的時長。

Short檢體處理的日期和時間
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
54. Specimen.container
Definition

此處指的是存放檢體的容器。沒有涉及到容器的層層嵌套特性;也就是說,不討論像血液放在試管裡,試管放在托盤裡,托盤放在架子上這樣的情況。

Short檢體的直接容器(試管/玻片等)
56. Specimen.container.identifier
Definition

容器的識別碼。可能會有多種類型的識別碼,如製造商的條碼、實驗室分配的識別碼等。在某些情況下,容器的識別碼可能與檢體的識別碼不同。

Short容器的ID
NoteThis is a business identifier, not a resource identifier (see discussion)
58. Specimen.container.description
Definition

容器的文字說明

Short容器的文字說明
60. Specimen.container.type
Definition

與檢體相關的容器類型(例如:玻片、分液管等)。

Short與檢體直接相關的容器類型
BindingUnless not suitable, these codes SHALL be taken from SpecimenContainerType
(extensible to http://hl7.org/fhir/ValueSet/specimen-container-type)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept(TW CodeableConcept)
62. Specimen.container.capacity
Definition

容器可容納的容量(體積或其他度量)

Short容器的體積或大小
64. Specimen.container.specimenQuantity
Definition

容器裡檢體的量;可能是以體積、尺寸或根據檢體類型的其他適當計量方式來表示

Short容器內的檢體量
66. Specimen.container.additive[x]
Definition

為保存、維護或增強檢體而引入的物質。例如:福馬林(Formalin)、檸檬酸鹽(Citrate)、EDTA。

Short與容器相關的添加劑
BindingFor example codes, see hl7VS-additivePreservative
(example to http://terminology.hl7.org/ValueSet/v2-0371)

可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
SlicingThis element introduces a set of slices on Specimen.container.additive[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • type @ $this
  • 68. Specimen.container.additive[x]:additiveCodeableConcept
    Slice NameadditiveCodeableConcept
    Control0..1
    BindingFor example codes, see hl7VS-additivePreservative
    (example to http://terminology.hl7.org/ValueSet/v2-0371)

    可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

    TypeCodeableConcept(TW CodeableConcept)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    70. Specimen.condition
    Definition

    描述檢體性質的模式或狀態

    Short檢體狀態
    Comments

    檢體狀態是對檢體所做的觀察,它是一個特定時間點的評估。它可以用來評估檢體的品質或其對於特定檢測的適用性。

    BindingUnless not suitable, these codes SHALL be taken from hl7VS-specimenCondition
    (extensible to http://terminology.hl7.org/ValueSet/v2-0493)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

    TypeCodeableConcept(TW CodeableConcept)
    Requirements

    檢體狀態可用來評估其對特定檢測的品質或適用性

    72. Specimen.note
    Definition

    用以傳達有關檢體或在檢體採集過程中的任何細節或問題。(例如:破損的小瓶、與病人一起寄送、冷凍)

    Short評論或意見

    Guidance on how to interpret the contents of this table can be found here

    0. Specimen
    Definition

    用於分析的檢體


    A sample to be used for analysis.

    Short用於分析的檢體Sample for analysis
    Control0..*
    Is Modifierfalse
    Summaryfalse
    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
    dom-6: A resource should have narrative for robust management (text.`div`.exists())
    2. Specimen.id
    Definition

    resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。


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

    Short不重複的ID用以識別儲存在特定FHIR Server中的Specimen紀錄,通常又稱為邏輯性ID。Logical id of this artifact
    Comments

    一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


    The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

    Control0..1
    Typeidstring
    Is Modifierfalse
    Summarytrue
    4. Specimen.meta
    Definition

    關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。


    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.

    Short此Specimen Resource的metadataMetadata about the resource
    Control0..1
    TypeMeta
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    6. Specimen.implicitRules
    Definition

    構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。


    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.

    Short創建此內容所依據的一組規則A set of rules under which this content was created
    Comments

    宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。


    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 it's narrative along with other profiles, value sets, etc.

    Control0..1
    Typeuri
    Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Specimen.language
    Definition

    編寫此resource的語言


    The base language in which the resource is written.

    Short用以表述Specimen Resource內容的語言。Language of the resource content
    Comments

    提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。


    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).

    Control0..1
    BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
    (preferred to http://hl7.org/fhir/ValueSet/languages)

    人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。


    A human language.

    Additional BindingsPurpose
    AllLanguagesMax Binding
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Example<br/><b>Value</b>:zh-TW
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    10. Specimen.text
    Definition

    人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。


    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.

    ShortSpecimen Resource之內容摘要以供人閱讀Text summary of the resource, for human interpretation
    Comments

    內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。


    Contained resources do not have 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.

    Control0..1
    TypeNarrative
    Is Modifierfalse
    Summaryfalse
    Alternate Namesnarrative, html, xhtml, display
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. Specimen.modifierExtension
    Definition

    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 manageable, 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).

    ShortExtensions that cannot be ignored
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    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.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Specimen.identifier
    Definition

    檢體的ID


    Id for specimen.

    Short檢體的外部識別碼External Identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Specimen.accessionIdentifier
    Definition

    當實驗室接收檢體時,會給檢體一個特定的編號。這個編號和檢體本身的識別碼可能不一樣,這取決於每個實驗室的操作方式。


    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.

    Short實驗室指定的識別碼Identifier assigned by the lab
    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Specimen.status
    Definition

    檢體的可取得性


    The availability of the specimen.

    Shortavailable | unavailable | unsatisfactory | entered-in-error
    Comments

    此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。


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

    Control0..1
    BindingThe codes SHALL be taken from SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1
    (required to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1)

    檢體的可取得性;應填入所綁定值集中的其中一個代碼。


    Codes providing the status/availability of a specimen.

    Typecode
    Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Specimen.type
    Definition

    檢體是由什麼類型的物質組成的


    The kind of material that forms the specimen.

    Short檢體的種類Kind of material that forms the specimen
    Comments

    檢體的類型會影響其處理方式,並決定了可以對檢體進行哪些適當的分析。這在診斷工作流程的決策系統中經常被使用。


    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.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see hl7VS-specimenTypehttp://terminology.hl7.org/ValueSet/v2-0487
    (extensible to http://terminology.hl7.org/ValueSet/v2-0487)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    The type of the specimen.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Specimen.subject
    Definition

    檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。


    Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device.

    Short檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
    Control10..1
    TypeReference(TW Core Patient, Group, Device, Substance, TW Core Location, Patient, Location)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    必須了解檢體取得對象的情境背景


    Must know the subject context.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Specimen.receivedTime
    Definition

    收到檢體進行處理或檢驗的時間


    Time when specimen was received for processing or testing.

    Short收到此檢體進行處理的時間The time when specimen was received for processing
    Control0..1
    TypedateTime
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Specimen.parent
    Definition

    母體(來源)檢體的參考,當檢體來自另一檢體或為另一檢體的組成部分時使用。


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

    Short此檢體的來源檢體Specimen from which this specimen originated
    Comments

    母樣本可以是當前檢體通過某些處理步驟(如等分、分離或從臨床樣本中提取核酸)獲得的來源,也可以是合併成集合樣本的許多樣本之一。


    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.

    Control0..*
    TypeReference(TW Core Specimen, Specimen)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Specimen.request
    Definition

    需要採集檢體的服務請求的相關細節


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

    Short採集檢體的原因Why the specimen was collected
    Comments

    請求可以是明確的,也可以是隱含的,例如需要抽血採樣的服務請求(ServiceRequest)。


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

    Control0..*
    TypeReference(ServiceRequest)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Specimen.collection
    Definition

    有關檢體採集的詳細資訊


    Details concerning the specimen collection.

    Short採集細節Collection details
    Control0..1
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Specimen.collection.modifierExtension
    Definition

    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 manageable, 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    34. Specimen.collection.collector
    Definition

    採集檢體的人員


    Person who collected the specimen.

    Short誰採集了檢體Who collected the specimen
    Control0..1
    TypeReference(TW Core Practitioner, TW Core PractitionerRole, Practitioner, PractitionerRole)
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Specimen.collection.collected[x]
    Definition

    從檢體對象採集檢體的時間--生理相關時間。生理相關時間是指生理狀態或生物活動達到特定條件或狀態時所收集的時間點。


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

    Short採集檢體的時間Collection time
    Control0..1
    TypeChoice of: dateTime, Period
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. Specimen.collection.duration
    Definition

    採集檢體的時間長度


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

    Short採集檢體需要多長時間How long it took to collect specimen
    Control0..1
    TypeDuration
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Specimen.collection.quantity
    Definition

    檢體採集的數量,例如:血樣的體積,或測量解剖病理樣本的實際尺寸或特性。


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

    Short採集檢體的數量The quantity of specimen collected
    Control0..1
    TypeQuantity(SimpleQuantity)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Specimen.collection.method
    Definition

    一個編碼值,具體說明用於執行此程序的技術。


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

    Short用於執行檢體採集的技術Technique used to perform collection
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see FHIRSpecimenCollectionMethodhttp://hl7.org/fhir/ValueSet/specimen-collection-method
    (extensible to http://hl7.org/fhir/ValueSet/specimen-collection-method)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    The technique that is used to perform the procedure.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Specimen.collection.bodySite
    Definition

    檢體採集的解剖位置(如果檢體對象是病人),這是指目標部位,此資料項目不適用於環境檢體。


    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.

    Short解剖採集部位Anatomical collection site
    Comments

    如果特定的使用情境需要將 BodySite 視為一個獨立的 resource,而不是內置的資料項目(例如:需要單獨辨識和追蹤),那麼可以使用名為 bodySite 的擴充資料項目來處理它。


    If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension bodySite.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site
    (extensible to http://hl7.org/fhir/ValueSet/body-site)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Codes describing anatomical locations. May include laterality.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Specimen.collection.fastingStatus[x]
    Definition

    在採集檢體前的一段時間內,禁食或減少部分或全部食物、飲料或兩者。


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

    Short病人是否禁食/禁飲料,或禁食/禁飲料多長時間Whether or how long patient abstained from food and/or drink
    Comments

    比起使用Observation.code=LOINC 2005-7(2小時尿液中的鈣[Moles/​time] - 禁食12小時)或者使用Observation.component code = LOINC 49541-6(禁食狀態 - 報告)這樣的「先組合配對/前組合式(pre-coordinated)」代碼,更推薦使用此資料項目來表示禁食狀態。


    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).

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from hl7VS-relevantClincialInformationhttp://terminology.hl7.org/ValueSet/v2-0916
    (extensible to http://terminology.hl7.org/ValueSet/v2-0916)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Codes describing the fasting status of the patient.

    TypeChoice of: CodeableConcept(TW CodeableConcept), Duration
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summarytrue
    Requirements

    許多診斷測試需要禁食,以便準確判讀。


    Many diagnostic tests require fasting to facilitate accurate interpretation.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Specimen.processing
    Definition

    有關檢體處理和處理步驟的細節資訊


    Details concerning processing and processing steps for the specimen.

    Short處理和處理步驟細節Processing and processing step details
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Specimen.processing.modifierExtension
    Definition

    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 manageable, 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    52. Specimen.processing.description
    Definition

    程序的文字描述


    Textual description of procedure.

    Short程序的文字描述Textual description of procedure
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. Specimen.processing.procedure
    Definition

    一個編碼值,具體說明用於處理檢體的程序。


    A coded value specifying the procedure used to process the specimen.

    Short表明應用於檢體的處理步驟Indicates the treatment step applied to the specimen
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingFor example codes, see SpecimenProcessingProcedurehttp://hl7.org/fhir/ValueSet/specimen-processing-procedure
    (example to http://hl7.org/fhir/ValueSet/specimen-processing-procedure)

    可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


    Type indicating the technique used to process the specimen.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Specimen.processing.additive
    Definition

    處理步驟中使用的物質


    Material used in the processing step.

    Short處理步驟中使用的物質Material used in the processing step
    Control0..*
    TypeReference(Substance)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. Specimen.processing.time[x]
    Definition

    記錄了進行檢體處理的具體時間或持續期間。例如,可以是檢體進行固定處理的時間,或者檢體浸泡在福馬林(formalin)中的時長。


    A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin.

    Short檢體處理的日期和時間Date and time of specimen processing
    Control0..1
    TypeChoice of: dateTime, Period
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Specimen.container
    Definition

    此處指的是存放檢體的容器。沒有涉及到容器的層層嵌套特性;也就是說,不討論像血液放在試管裡,試管放在托盤裡,托盤放在架子上這樣的情況。


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

    Short檢體的直接容器(試管/玻片等)Direct container of specimen (tube/slide, etc.)
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Specimen.container.modifierExtension
    Definition

    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 manageable, 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    64. Specimen.container.identifier
    Definition

    容器的識別碼。可能會有多種類型的識別碼,如製造商的條碼、實驗室分配的識別碼等。在某些情況下,容器的識別碼可能與檢體的識別碼不同。


    Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.

    Short容器的IDId for the container
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Specimen.container.description
    Definition

    容器的文字說明


    Textual description of the container.

    Short容器的文字說明Textual description of the container
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Specimen.container.type
    Definition

    與檢體相關的容器類型(例如:玻片、分液管等)。


    The type of container associated with the specimen (e.g. slide, aliquot, etc.).

    Short與檢體直接相關的容器類型Kind of container directly associated with specimen
    Comments

    Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

    Control0..1
    This element is affected by the following invariants: ele-1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see SpecimenContainerTypehttp://hl7.org/fhir/ValueSet/specimen-container-type
    (extensible to http://hl7.org/fhir/ValueSet/specimen-container-type)

    應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


    Type of specimen container.

    TypeCodeableConcept(TW CodeableConcept)
    Is Modifierfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. Specimen.container.capacity
    Definition

    容器可容納的容量(體積或其他度量)


    The capacity (volume or other measure) the container may contain.

    Short容器的體積或大小Container volume or size
    Control0..1
    TypeQuantity(SimpleQuantity)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Specimen.container.specimenQuantity
    Definition

    容器裡檢體的量;可能是以體積、尺寸或根據檢體類型的其他適當計量方式來表示


    The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.

    Short容器內的檢體量Quantity of specimen within container
    Control0..1
    TypeQuantity(SimpleQuantity)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. Specimen.container.additive[x]
    Definition

    為保存、維護或增強檢體而引入的物質。例如:福馬林(Formalin)、檸檬酸鹽(Citrate)、EDTA。


    Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.

    Short與容器相關的添加劑Additive associated with container
    Control0..1
    BindingFor example codes, see hl7VS-additivePreservativehttp://terminology.hl7.org/ValueSet/v2-0371
    (example to http://terminology.hl7.org/ValueSet/v2-0371)

    可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


    Substance added to specimen container.

    TypeChoice of: CodeableConcept, Reference(Substance)
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Specimen.container.additive[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 76. Specimen.container.additive[x]:additiveCodeableConcept
      Slice NameadditiveCodeableConcept
      Definition

      A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


      Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.

      Short概念(Concept)— 參照一個專門術語或只是文字表述Additive associated with container
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see hl7VS-additivePreservativehttp://terminology.hl7.org/ValueSet/v2-0371
      (example to http://terminology.hl7.org/ValueSet/v2-0371)

      可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。


      Substance added to specimen container.

      TypeCodeableConcept(TW CodeableConcept), Reference(Substance)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. Specimen.condition
      Definition

      描述檢體性質的模式或狀態


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

      Short檢體狀態State of the specimen
      Comments

      檢體狀態是對檢體所做的觀察,它是一個特定時間點的評估。它可以用來評估檢體的品質或其對於特定檢測的適用性。


      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.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from hl7VS-specimenConditionhttp://terminology.hl7.org/ValueSet/v2-0493
      (extensible to http://terminology.hl7.org/ValueSet/v2-0493)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


      Codes describing the state of the specimen.

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Requirements

      檢體狀態可用來評估其對特定檢測的品質或適用性


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

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Specimen.note
      Definition

      用以傳達有關檢體或在檢體採集過程中的任何細節或問題。(例如:破損的小瓶、與病人一起寄送、冷凍)


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

      Short評論或意見Comments
      Control0..*
      TypeAnnotation
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Guidance on how to interpret the contents of this table can be found here

      0. Specimen
      Definition

      用於分析的檢體

      Short用於分析的檢體
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Specimen.id
      Definition

      resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

      Short不重複的ID用以識別儲存在特定FHIR Server中的Specimen紀錄,通常又稱為邏輯性ID。
      Comments

      一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

      Control0..1
      Typeid
      Is Modifierfalse
      Summarytrue
      4. Specimen.meta
      Definition

      關於resource的metadata。這是由基礎建設維護的內容。內容的更改可能並不總是與resource的版本更改相關聯。

      Short此Specimen Resource的metadata
      Control0..1
      TypeMeta
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Specimen.implicitRules
      Definition

      構建resource時遵循的一系列規則的參照,在處理內容時必須理解這些規則。通常這是對IG所定義之特殊規則及其他profiles的參照。

      Short創建此內容所依據的一組規則
      Comments

      宣告這套規則限制了內容只能被有限的交易夥伴所理解。這從本質上限制了資料的長期有用性。然而,現有的健康生態體系高度分裂,還沒有準備好以普遍可計算的方式定義、收集和交換資料。只要有可能,實作者和/或規範編寫者應該避免使用這個資料項目。通常在使用時,此URL是對IG的參照,此IG將這些特殊規則與其他profiles、value sets等一起定義為其敘述的一部分。

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Specimen.language
      Definition

      編寫此resource的語言

      Short用以表述Specimen Resource內容的語言。
      Comments

      提供語言是為了支援索引和可存取性(通常,文字表述轉語音等服務使用此語言標籤)。html lanuage tag適用於此敘述。resource上的語言標籤可用於指定從resource中的資料所產成的其他表述之語言。不是所有的內容都必須使用此語言。不應該假定Resource.language自動適用於敘述。如果指定語言,它也應該被指定在html中的div資料項目(關於xml:lang和html lang屬性之間的關係,見HTML5中的規則)。

      Control0..1
      BindingThe codes SHOULD be taken from CommonLanguages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      人類語言;鼓勵使用CommonLanguages代碼表中的代碼,但不強制一定要使用此代碼表,你也可使用其他代碼表的代碼或單純以文字表示。

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Example<br/><b>Value</b>:zh-TW
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Specimen.text
      Definition

      人可讀的敘述,包含resource的摘要,可用於向人表述resource的內容。敘述不需要對所有的結構化資料進行編碼,但需要包含足夠的細節使人在閱讀敘述時理解「臨床安全性」。resource定義有哪些內容應該在敘述中表示,以確保臨床安全。

      ShortSpecimen Resource之內容摘要以供人閱讀
      Comments

      內嵌(contained)的resource沒有敘述,非內嵌(contained)的resource則 建議應該(SHOULD) 有敘述。有時resource可能只有文字表述,很少或沒有額外的結構化資料(只要滿足所有minOccurs=1的資料項目)。這可能出現在舊系統的資料,當資訊以 「文字表述區塊(text blob) 」的形式被取得,或者文字表述是原始輸入或說明,而編碼資訊稍後再添加。

      Control0..1
      TypeNarrative
      Is Modifierfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Specimen.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

      ShortContained, inline Resources
      Comments

      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.

      Control0..*
      TypeResource
      Is Modifierfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. Specimen.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. Specimen.modifierExtension
      Definition

      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 manageable, 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).

      ShortExtensions that cannot be ignored
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      Requirements

      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.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. Specimen.identifier
      Definition

      檢體的ID

      Short檢體的外部識別碼
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Specimen.accessionIdentifier
      Definition

      當實驗室接收檢體時,會給檢體一個特定的編號。這個編號和檢體本身的識別碼可能不一樣,這取決於每個實驗室的操作方式。

      Short實驗室指定的識別碼
      Control0..1
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Specimen.status
      Definition

      檢體的可取得性

      Shortavailable | unavailable | unsatisfactory | entered-in-error
      Comments

      此資料項目被標記為修飾用(modifier),因為狀態包含標記 resource 為當前無效的代碼。

      Control0..1
      BindingThe codes SHALL be taken from SpecimenStatus
      (required to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1)

      檢體的可取得性;應填入所綁定值集中的其中一個代碼。

      Typecode
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Specimen.type
      Definition

      檢體是由什麼類型的物質組成的

      Short檢體的種類
      Comments

      檢體的類型會影響其處理方式,並決定了可以對檢體進行哪些適當的分析。這在診斷工作流程的決策系統中經常被使用。

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from hl7VS-specimenType
      (extensible to http://terminology.hl7.org/ValueSet/v2-0487)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Specimen.subject
      Definition

      檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。

      Short檢體取自哪邊?檢體的來源可能有幾種,它可能來自病人,來自某個地方(例如:從環境中取得的樣本),或者是對某種物質或設備的抽樣。
      Control1..1
      TypeReference(TW Core Patient, Group, Device, Substance, TW Core Location)
      Is Modifierfalse
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      Summarytrue
      Requirements

      必須了解檢體取得對象的情境背景

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Specimen.receivedTime
      Definition

      收到檢體進行處理或檢驗的時間

      Short收到此檢體進行處理的時間
      Control0..1
      TypedateTime
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Specimen.parent
      Definition

      母體(來源)檢體的參考,當檢體來自另一檢體或為另一檢體的組成部分時使用。

      Short此檢體的來源檢體
      Comments

      母樣本可以是當前檢體通過某些處理步驟(如等分、分離或從臨床樣本中提取核酸)獲得的來源,也可以是合併成集合樣本的許多樣本之一。

      Control0..*
      TypeReference(TW Core Specimen)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Specimen.request
      Definition

      需要採集檢體的服務請求的相關細節

      Short採集檢體的原因
      Comments

      請求可以是明確的,也可以是隱含的,例如需要抽血採樣的服務請求(ServiceRequest)。

      Control0..*
      TypeReference(ServiceRequest)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Specimen.collection
      Definition

      有關檢體採集的詳細資訊

      Short採集細節
      Control0..1
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Specimen.collection.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      38. Specimen.collection.extension
      Definition

      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 manageable, 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      40. Specimen.collection.modifierExtension
      Definition

      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 manageable, 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      42. Specimen.collection.collector
      Definition

      採集檢體的人員

      Short誰採集了檢體
      Control0..1
      TypeReference(TW Core Practitioner, TW Core PractitionerRole)
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Specimen.collection.collected[x]
      Definition

      從檢體對象採集檢體的時間--生理相關時間。生理相關時間是指生理狀態或生物活動達到特定條件或狀態時所收集的時間點。

      Short採集檢體的時間
      Control0..1
      TypeChoice of: dateTime, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Specimen.collection.duration
      Definition

      採集檢體的時間長度

      Short採集檢體需要多長時間
      Control0..1
      TypeDuration
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Specimen.collection.quantity
      Definition

      檢體採集的數量,例如:血樣的體積,或測量解剖病理樣本的實際尺寸或特性。

      Short採集檢體的數量
      Control0..1
      TypeQuantity(SimpleQuantity)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Specimen.collection.method
      Definition

      一個編碼值,具體說明用於執行此程序的技術。

      Short用於執行檢體採集的技術
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from FHIRSpecimenCollectionMethod
      (extensible to http://hl7.org/fhir/ValueSet/specimen-collection-method)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Specimen.collection.bodySite
      Definition

      檢體採集的解剖位置(如果檢體對象是病人),這是指目標部位,此資料項目不適用於環境檢體。

      Short解剖採集部位
      Comments

      如果特定的使用情境需要將 BodySite 視為一個獨立的 resource,而不是內置的資料項目(例如:需要單獨辨識和追蹤),那麼可以使用名為 bodySite 的擴充資料項目來處理它。

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTBodyStructures
      (extensible to http://hl7.org/fhir/ValueSet/body-site)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Specimen.collection.fastingStatus[x]
      Definition

      在採集檢體前的一段時間內,禁食或減少部分或全部食物、飲料或兩者。

      Short病人是否禁食/禁飲料,或禁食/禁飲料多長時間
      Comments

      比起使用Observation.code=LOINC 2005-7(2小時尿液中的鈣[Moles/​time] - 禁食12小時)或者使用Observation.component code = LOINC 49541-6(禁食狀態 - 報告)這樣的「先組合配對/前組合式(pre-coordinated)」代碼,更推薦使用此資料項目來表示禁食狀態。

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from hl7VS-relevantClincialInformation
      (extensible to http://terminology.hl7.org/ValueSet/v2-0916)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeChoice of: CodeableConcept(TW CodeableConcept), Duration
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summarytrue
      Requirements

      許多診斷測試需要禁食,以便準確判讀。

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Specimen.processing
      Definition

      有關檢體處理和處理步驟的細節資訊

      Short處理和處理步驟細節
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Specimen.processing.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      60. Specimen.processing.extension
      Definition

      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 manageable, 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      62. Specimen.processing.modifierExtension
      Definition

      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 manageable, 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      64. Specimen.processing.description
      Definition

      程序的文字描述

      Short程序的文字描述
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. Specimen.processing.procedure
      Definition

      一個編碼值,具體說明用於處理檢體的程序。

      Short表明應用於檢體的處理步驟
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see SpecimenProcessingProcedure
      (example to http://hl7.org/fhir/ValueSet/specimen-processing-procedure)

      可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Specimen.processing.additive
      Definition

      處理步驟中使用的物質

      Short處理步驟中使用的物質
      Control0..*
      TypeReference(Substance)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Specimen.processing.time[x]
      Definition

      記錄了進行檢體處理的具體時間或持續期間。例如,可以是檢體進行固定處理的時間,或者檢體浸泡在福馬林(formalin)中的時長。

      Short檢體處理的日期和時間
      Control0..1
      TypeChoice of: dateTime, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      72. Specimen.container
      Definition

      此處指的是存放檢體的容器。沒有涉及到容器的層層嵌套特性;也就是說,不討論像血液放在試管裡,試管放在托盤裡,托盤放在架子上這樣的情況。

      Short檢體的直接容器(試管/玻片等)
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      74. Specimen.container.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      76. Specimen.container.extension
      Definition

      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 manageable, 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      78. Specimen.container.modifierExtension
      Definition

      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 manageable, 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      80. Specimen.container.identifier
      Definition

      容器的識別碼。可能會有多種類型的識別碼,如製造商的條碼、實驗室分配的識別碼等。在某些情況下,容器的識別碼可能與檢體的識別碼不同。

      Short容器的ID
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      82. Specimen.container.description
      Definition

      容器的文字說明

      Short容器的文字說明
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      84. Specimen.container.type
      Definition

      與檢體相關的容器類型(例如:玻片、分液管等)。

      Short與檢體直接相關的容器類型
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..1
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from SpecimenContainerType
      (extensible to http://hl7.org/fhir/ValueSet/specimen-container-type)

      應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

      TypeCodeableConcept(TW CodeableConcept)
      Is Modifierfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. Specimen.container.capacity
      Definition

      容器可容納的容量(體積或其他度量)

      Short容器的體積或大小
      Control0..1
      TypeQuantity(SimpleQuantity)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. Specimen.container.specimenQuantity
      Definition

      容器裡檢體的量;可能是以體積、尺寸或根據檢體類型的其他適當計量方式來表示

      Short容器內的檢體量
      Control0..1
      TypeQuantity(SimpleQuantity)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. Specimen.container.additive[x]
      Definition

      為保存、維護或增強檢體而引入的物質。例如:福馬林(Formalin)、檸檬酸鹽(Citrate)、EDTA。

      Short與容器相關的添加劑
      Control0..1
      BindingFor example codes, see hl7VS-additivePreservative
      (example to http://terminology.hl7.org/ValueSet/v2-0371)

      可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

      TypeChoice of: CodeableConcept, Reference(Substance)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Specimen.container.additive[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 92. Specimen.container.additive[x]:additiveCodeableConcept
        Slice NameadditiveCodeableConcept
        Definition

        A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.

        Short概念(Concept)— 參照一個專門術語或只是文字表述
        Comments

        Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

        Control0..1
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see hl7VS-additivePreservative
        (example to http://terminology.hl7.org/ValueSet/v2-0371)

        可參考所綁定值集,但此值集只是針對這個欄位的一個可能值的範例,不預期也不鼓勵使用者一定要使用此值集的代碼。

        TypeCodeableConcept(TW CodeableConcept)
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. Specimen.condition
        Definition

        描述檢體性質的模式或狀態

        Short檢體狀態
        Comments

        檢體狀態是對檢體所做的觀察,它是一個特定時間點的評估。它可以用來評估檢體的品質或其對於特定檢測的適用性。

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingUnless not suitable, these codes SHALL be taken from hl7VS-specimenCondition
        (extensible to http://terminology.hl7.org/ValueSet/v2-0493)

        應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

        TypeCodeableConcept(TW CodeableConcept)
        Is Modifierfalse
        Requirements

        檢體狀態可用來評估其對特定檢測的品質或適用性

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Specimen.note
        Definition

        用以傳達有關檢體或在檢體採集過程中的任何細節或問題。(例如:破損的小瓶、與病人一起寄送、冷凍)

        Short評論或意見
        Control0..*
        TypeAnnotation
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))