FHIR Implementation Guide for ABDM
            
            6.5.0 - active
  
            
          
 
This page is part of the FHIR Implementation Guide for ABDM (v6.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen | Version: 6.5.0 | |||
| Draft as of 2020-08-17 | Computable Name: Specimen | |||
This profile sets minimum expectations for the Specimen resource to searching for and fetching information regarding a sample to be used for the analysis of a patient.
This profile sets minimum expectations for the Specimen resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Specimen | 0..* | Specimen | Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | 
|    status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children | 
|    type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) ele-1: All FHIR elements must have a @value or children | 
|     coding | SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children | 
|      system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct | 
|      code | Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children | 
|      display | Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children | 
|     text | SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children | 
|    subject | Σ | 0..1 | Reference(Patient) | 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 ele-1: All FHIR elements must have a @value or children | 
|    receivedTime | SΣ | 1..1 | dateTime | The time when specimen was received for processing ele-1: All FHIR elements must have a @value or children | 
|    parent | 0..* | Reference(Specimen) | Specimen from which this specimen originated ele-1: All FHIR elements must have a @value or children | |
|    request | 0..* | Reference(ServiceRequest) | Why the specimen was collected ele-1: All FHIR elements must have a @value or children | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Specimen.status | required | SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | |
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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  | 
|---|---|---|---|---|
|   Specimen | Specimen | |||
|    type | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | |
|     coding | S | 0..* | Coding | Code defined by a terminology system | 
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system | |
|      display | 1..1 | string | Representation defined by the system | |
|     text | S | 0..1 | string | Plain text representation of the concept | 
|    subject | 0..1 | Reference(Patient) | 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 | S | 1..1 | dateTime | The time when specimen was received for processing | 
|    parent | 0..* | Reference(Specimen) | Specimen from which this specimen originated | |
|    request | 0..* | Reference(ServiceRequest) | Why the specimen was collected | |
|    collection | ||||
|     collector | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | |
|     collected[x] | 1..1 | dateTime | Collection time | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | 
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Specimen | 0..* | Specimen | Sample for analysis | |||||
|    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. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    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 | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | ||||
|     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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
|      version | Σ | 0..1 | string | Version of the system - if relevant | ||||
|      code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
|      display | Σ | 1..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 | ||||
|    subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..1 | dateTime | The time when specimen was received for processing | ||||
|    parent | 0..* | Reference(Specimen) | 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 | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     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 | 1..1 | dateTime | Collection time | ||||
|     duration | Σ | 0..1 | Duration | How long it took to collect specimen | ||||
|     quantity | 0..1 | SimpleQuantity | 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 (example): Codes describing anatomical locations. May include laterality. | |||||
|     fastingStatus[x] | Σ | 0..1 | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (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) | 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 | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     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: SpecimenContainerType (example): Type of specimen container. | |||||
|     capacity | 0..1 | SimpleQuantity | Container volume or size | |||||
|     specimenQuantity | 0..1 | SimpleQuantity | Quantity of specimen within container | |||||
|     additive[x] | 0..1 | Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container. | ||||||
|      additiveCodeableConcept | CodeableConcept | |||||||
|      additiveReference | Reference(Substance) | |||||||
|    condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. | ||||
|    note | 0..* | Annotation | Comments | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Specimen.language | preferred | CommonLanguages http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard 
 | ||||
| Specimen.status | required | SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | ||||
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-methodfrom the FHIR Standard | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916 | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedurefrom the FHIR Standard | ||||
| Specimen.container.type | example | SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-typefrom the FHIR Standard | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371 | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493 | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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(4 nested mandatory elements)
 Must-Support: 3 elements
 Fixed: 1 element
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Specimen | 0..* | Specimen | Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | 
|    status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children | 
|    type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) ele-1: All FHIR elements must have a @value or children | 
|     coding | SΣ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children | 
|      system | Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct | 
|      code | Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children | 
|      display | Σ | 1..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children | 
|     text | SΣ | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children | 
|    subject | Σ | 0..1 | Reference(Patient) | 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 ele-1: All FHIR elements must have a @value or children | 
|    receivedTime | SΣ | 1..1 | dateTime | The time when specimen was received for processing ele-1: All FHIR elements must have a @value or children | 
|    parent | 0..* | Reference(Specimen) | Specimen from which this specimen originated ele-1: All FHIR elements must have a @value or children | |
|    request | 0..* | Reference(ServiceRequest) | Why the specimen was collected ele-1: All FHIR elements must have a @value or children | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Specimen.status | required | SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | |
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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  | 
|---|---|---|---|---|
|   Specimen | Specimen | |||
|    type | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | |
|     coding | S | 0..* | Coding | Code defined by a terminology system | 
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system | |
|      display | 1..1 | string | Representation defined by the system | |
|     text | S | 0..1 | string | Plain text representation of the concept | 
|    subject | 0..1 | Reference(Patient) | 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 | S | 1..1 | dateTime | The time when specimen was received for processing | 
|    parent | 0..* | Reference(Specimen) | Specimen from which this specimen originated | |
|    request | 0..* | Reference(ServiceRequest) | Why the specimen was collected | |
|    collection | ||||
|     collector | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | |
|     collected[x] | 1..1 | dateTime | Collection time | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Specimen | 0..* | Specimen | Sample for analysis | |||||
|    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. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    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 | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | ||||
|     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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
|      version | Σ | 0..1 | string | Version of the system - if relevant | ||||
|      code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
|      display | Σ | 1..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 | ||||
|    subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..1 | dateTime | The time when specimen was received for processing | ||||
|    parent | 0..* | Reference(Specimen) | 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 | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     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 | 1..1 | dateTime | Collection time | ||||
|     duration | Σ | 0..1 | Duration | How long it took to collect specimen | ||||
|     quantity | 0..1 | SimpleQuantity | 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 (example): Codes describing anatomical locations. May include laterality. | |||||
|     fastingStatus[x] | Σ | 0..1 | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (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) | 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 | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     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: SpecimenContainerType (example): Type of specimen container. | |||||
|     capacity | 0..1 | SimpleQuantity | Container volume or size | |||||
|     specimenQuantity | 0..1 | SimpleQuantity | Quantity of specimen within container | |||||
|     additive[x] | 0..1 | Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container. | ||||||
|      additiveCodeableConcept | CodeableConcept | |||||||
|      additiveReference | Reference(Substance) | |||||||
|    condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. | ||||
|    note | 0..* | Annotation | Comments | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Specimen.language | preferred | CommonLanguages http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard 
 | ||||
| Specimen.status | required | SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | ||||
| Specimen.type | example | SpecimenTypes https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-specimen-typesfrom this IG | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-methodfrom the FHIR Standard | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916 | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedurefrom the FHIR Standard | ||||
| Specimen.container.type | example | SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-typefrom the FHIR Standard | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371 | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493 | 
| Id | Grade | Path(s) | Details | Requirements | 
| 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(4 nested mandatory elements)
 Must-Support: 3 elements
 Fixed: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron