HL7 Europe Laboratory Report
2.0.0 - ci-build 150

HL7 Europe Laboratory Report - Downloaded Version 2.0.0 See the Directory of published versions

## Resource Profile: Specimen: Laboratory

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab | Version: 2.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: SpecimenEu
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile defines how to represent Specimens in HL7 FHIR for the purpose of this guide.

#### Implementation note: specimen source beyond the subject of record

`Specimen.subject` represents the subject of record (the chart/record the specimen belongs to). In most cases, the specimen is collected from this same entity.

Use `extension[focus]` when the specimen source is associated with the subject of record, but is not identical to `Specimen.subject` (for example: animal, donor, fetus, implanted device, or environmental source).

Usages:

- Use this Profile: Bundle: Laboratory Report
- Refer to this Profile: DiagnosticReport: Laboratory Report, Observation Results: laboratory, ServiceRequest: Laboratory Order and Specimen: Laboratory
- Examples for this Profile: Specimen/Specimen-animal-example

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus"
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject | Σ | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | 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()`

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
type |  | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject |  | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
collection |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
processing |  |  |  |
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
container |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | R5: Device resource for the container (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
extension |  | 0..0 |  | Extension
value[x] |  | 1..1 | Reference(Device) | Device resource for the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
additive[x] |  | 0..0 |  | Additive associated with container
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | Specimen Container | 📦2.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus"
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject | Σ | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
collection |  | 0..1 | BackboneElement | Collection details
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | R5: Device resource for the container (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device"
value[x] |  | 1..1 | Reference(Device) | Device resource for the container
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier | Σ | 0..* | Identifier | Id for the container
description |  | 0..1 | string | Textual description of the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
note |  | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📍3.0.0 | THO v7.1
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | Specimen Container | 📦2.0.0 | This IG
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📍3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | 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()`

This structure is derived from Specimen

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- RelatedPerson: AnimalSpecimen (http://hl7.eu/fhir/laboratory/StructureDefinition/animal-specimen-eu-lab)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)
- BodyStructure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/bodyStructure-eu-core)
- Substance: Specimen Additive Substance (http://hl7.eu/fhir/laboratory/StructureDefinition/Substance-additive-eu-lab)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
- http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0
- http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus"
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject | Σ | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | 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 View

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
type |  | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject |  | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
collection |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
processing |  |  |  |
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
container |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | R5: Device resource for the container (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
extension |  | 0..0 |  | Extension
value[x] |  | 1..1 | Reference(Device) | Device resource for the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
additive[x] |  | 0..0 |  | Additive associated with container
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | Specimen Container | 📦2.0.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Laboratory Specimen
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:focus |  | 0..1 | (Complex) | Animal specimen source URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus"
value[x] |  | 0..1 | Reference(RelatedPerson: AnimalSpecimen | Group | Device | Substance | Location) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
subject | Σ | 0..1 | Reference(Patient (EU core) | Group | Device | Substance | Location) | 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
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing
parent |  | 0..* | Reference(Specimen: Laboratory) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
collection |  | 0..1 | BackboneElement | Collection details
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(BodyStructure (EU core)) | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | R5: Device resource for the container (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url Constraints: ext-1
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device"
value[x] |  | 1..1 | Reference(Device) | Device resource for the container
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
identifier | Σ | 0..* | Identifier | Id for the container
description |  | 0..1 | string | Textual description of the container
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
note |  | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | Specimen Types | 📦2.0.0 | This IG
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📍3.0.0 | THO v7.1
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | Specimen Container | 📦2.0.0 | This IG
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📍3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | 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 | Specimen | 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 | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | 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()`

This structure is derived from Specimen

Summary

Mandatory: 1 element
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- RelatedPerson: AnimalSpecimen (http://hl7.eu/fhir/laboratory/StructureDefinition/animal-specimen-eu-lab)
- Patient (EU core) (http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core)
- Specimen: Laboratory (http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab)
- BodyStructure (EU core) (http://hl7.eu/fhir/base/StructureDefinition/bodyStructure-eu-core)
- Substance: Specimen Additive Substance (http://hl7.eu/fhir/laboratory/StructureDefinition/Substance-additive-eu-lab)

Extensions

This structure refers to these extensions:

- http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
- http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0
- http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device

Maturity: 2

Other representations of profile: CSV, Excel, Schematron