| Offizielle URL: https://gematik.de/fhir/ti/StructureDefinition/ti-specimen-additive-substance-laboratory | Version: 1.5.0 | |||
| Active Stand: 2026-11-16 | Maschinenlesbarer Name: TISpecimenAdditiveSubstanceLaboratory | |||
Copyright/Rechtliches: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0. |
||||
Hier wird eine Substanz abgebildet, die bei der Probenverarbeitung als Zusatz hinzugefügt wird.
Usages:
You can also check for usages in the FHIR IG Statistics
Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition Constraints: dom-2, dom-3, dom-4, dom-5, dom-6 | |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
   versionId |
SΣ | 0..1 | id | Version specific identifier |
 lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used. |
 code |
SΣ | 1..1 | CodeableConcept | What substance this is Binding: Specimen Additive (preferred): Substance codes. |
 coding |
SΣ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 0..1 | string | Representation defined by the system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Substance.status | Base | required | FHIRSubstanceStatus | 📍4.0.1 | FHIR Std. |
| Substance.code | Base | preferred | Specimen Additive | 📦2.0.0 | HL7 Europe Laboratory Report v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Substance | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Substance | 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 | error | Substance | 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 | error | Substance | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Substance | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Diese Struktur ist abgeleitet von SpecimenAdditiveSubstance
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition | |
 meta |
S | 0..1 | Meta | Metadata about the resource |
| versionId |
S | 0..1 | id | Version specific identifier |
| lastUpdated |
S | 0..1 | instant | When the resource version last changed |
| code |
S | 1..1 | CodeableConcept | What substance this is |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
S | 0..1 | uri | Identity of the terminology system |
| version |
S | 0..1 | string | Version of the system - if relevant |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| display |
S | 0..1 | string | Representation defined by the system |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition Constraints: dom-2, dom-3, dom-4, dom-5, dom-6 | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
SΣ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used. | ||||
| category |
Σ | 0..* | CodeableConcept | What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance. | ||||
| code |
SΣ | 1..1 | CodeableConcept | What substance this is Binding: Specimen Additive (preferred): Substance codes. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| description |
Σ | 0..1 | string | Textual description of the substance, comments | ||||
| instance |
Σ | 0..* | BackboneElement | If this describes a specific package/container of the substance | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| identifier |
Σ | 0..1 | Identifier | Identifier of the package/container | ||||
| expiry |
Σ | 0..1 | dateTime | When no longer valid to use | ||||
| quantity |
ΣC | 0..1 | SimpleQuantity | Amount of substance in the package Constraints: qty-3, sqty-1 | ||||
| ingredient |
Σ | 0..* | BackboneElement | Composition information about the substance | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
ΣC | 0..1 | Ratio | Optional amount (concentration) Constraints: rat-1 | ||||
 substance[x] |
Σ | 1..1 | A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes. | |||||
| substanceCodeableConcept |
CodeableConcept | |||||||
 substanceReference |
Reference(Substance) | |||||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Substance.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Substance.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Substance.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Substance.status | Base | required | FHIRSubstanceStatus | 📍4.0.1 | FHIR Std. |
| Substance.category | Base | extensible | Substance Category Codes | 📦4.0.1 | FHIR Std. |
| Substance.code | Base | preferred | Specimen Additive | 📦2.0.0 | HL7 Europe Laboratory Report v2.0 |
| Substance.ingredient.substance[x] | Base | example | Substance Code | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Substance | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Substance | 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 | error | Substance | 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 | error | Substance | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Substance | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qty-3 | error | Substance.instance.quantity | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| rat-1 | error | Substance.ingredient.quantity | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
|
| sqty-1 | error | Substance.instance.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Diese Struktur ist abgeleitet von SpecimenAdditiveSubstance
Schlüsselelemente-Ansicht
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition Constraints: dom-2, dom-3, dom-4, dom-5, dom-6 | |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| versionId |
SΣ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used. |
| code |
SΣ | 1..1 | CodeableConcept | What substance this is Binding: Specimen Additive (preferred): Substance codes. |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system |
| version |
SΣ | 0..1 | string | Version of the system - if relevant |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 0..1 | string | Representation defined by the system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Substance.status | Base | required | FHIRSubstanceStatus | 📍4.0.1 | FHIR Std. |
| Substance.code | Base | preferred | Specimen Additive | 📦2.0.0 | HL7 Europe Laboratory Report v2.0 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Substance | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Substance | 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 | error | Substance | 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 | error | Substance | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Substance | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential-Ansicht
Diese Struktur ist abgeleitet von SpecimenAdditiveSubstance
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition | |
| meta |
S | 0..1 | Meta | Metadata about the resource |
| versionId |
S | 0..1 | id | Version specific identifier |
| lastUpdated |
S | 0..1 | instant | When the resource version last changed |
| code |
S | 1..1 | CodeableConcept | What substance this is |
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
S | 0..1 | uri | Identity of the terminology system |
| version |
S | 0..1 | string | Version of the system - if relevant |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| display |
S | 0..1 | string | Representation defined by the system |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Documentation for this format | ||||
Snapshot-AnsichtView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Substance |
0..* | SpecimenAdditiveSubstance | A homogeneous material with a definite composition Constraints: dom-2, dom-3, dom-4, dom-5, dom-6 | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
SΣ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
SΣ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| status |
?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: FHIRSubstanceStatus (required): A code to indicate if the substance is actively used. | ||||
| category |
Σ | 0..* | CodeableConcept | What class/type of substance this is Binding: SubstanceCategoryCodes (extensible): Category or classification of substance. | ||||
| code |
SΣ | 1..1 | CodeableConcept | What substance this is Binding: Specimen Additive (preferred): Substance codes. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system | ||||
| version |
SΣ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| description |
Σ | 0..1 | string | Textual description of the substance, comments | ||||
| instance |
Σ | 0..* | BackboneElement | If this describes a specific package/container of the substance | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| identifier |
Σ | 0..1 | Identifier | Identifier of the package/container | ||||
| expiry |
Σ | 0..1 | dateTime | When no longer valid to use | ||||
| quantity |
ΣC | 0..1 | SimpleQuantity | Amount of substance in the package Constraints: qty-3, sqty-1 | ||||
| ingredient |
Σ | 0..* | BackboneElement | Composition information about the substance | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
ΣC | 0..1 | Ratio | Optional amount (concentration) Constraints: rat-1 | ||||
| substance[x] |
Σ | 1..1 | A component of the substance Binding: SubstanceCode (example): Substance Ingredient codes. | |||||
| substanceCodeableConcept |
CodeableConcept | |||||||
| substanceReference |
Reference(Substance) | |||||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Substance.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Substance.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Substance.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Substance.status | Base | required | FHIRSubstanceStatus | 📍4.0.1 | FHIR Std. |
| Substance.category | Base | extensible | Substance Category Codes | 📦4.0.1 | FHIR Std. |
| Substance.code | Base | preferred | Specimen Additive | 📦2.0.0 | HL7 Europe Laboratory Report v2.0 |
| Substance.ingredient.substance[x] | Base | example | Substance Code | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Substance | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Substance | 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 | error | Substance | 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 | error | Substance | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Substance | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| qty-3 | error | Substance.instance.quantity | If a code for the unit is present, the system SHALL also be present |
code.empty() or system.exists()
|
| rat-1 | error | Substance.ingredient.quantity | Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present |
(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
|
| sqty-1 | error | Substance.instance.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Diese Struktur ist abgeleitet von SpecimenAdditiveSubstance
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