HL7 Europe Laboratory Report
0.1.1 - trial-use 150

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## Resource Profile: Specimen Obligations

Official URL: http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-obl-eu-lab | Version: 0.1.1
Standards status: Informative | Maturity Level: 0 | Computable Name: SpecimenEuObligations
Other Identifiers: OID:2.16.840.1.113883.2.51.22.1.42.26
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile defines obligations for Specimen in FHIR for the purpose of this guide.

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

### 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
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | Laboratory Specimen 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 | O Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O Σ | 0..1 | Reference(Patient: Person | Patient: Animal | 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 ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
request | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite | O | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
bodySite | O | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:device |  | 0..1 | Reference(Device) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` from the FHIR Standard
Specimen.type | preferred | LabSpecimenTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab` from this IG
Specimen.collection.bodySite | preferred | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Specimen.container.type | preferred | LabSpecimenContainerEu `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab` from this IG

#### Constraints

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 SpecimenEu

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | Laboratory Specimen
type | O | 0..1 | CodeableConcept | Kind of material that forms the specimen
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O | 0..1 | Reference(Patient: Person | Patient: Animal | 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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
request | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite | O | 0..1 | BodyStructure Reference(4.0.1) | Target anatomic location or structure
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
bodySite | O | 0..1 | CodeableConcept | Anatomical collection site
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
processing |  |  |  |
additive | O | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
type | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | 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
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 | O Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O Σ | 0..1 | Reference(Patient: Person | Patient: Animal | 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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite | O | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | 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 | O | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | O | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | Reference(Device) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
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 | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
capacity |  | 0..1 | SimpleQuantity | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity | Quantity of specimen within container
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` from the FHIR Standard
Specimen.type | preferred | LabSpecimenTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab` from this IG
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method` from the FHIR Standard
Specimen.collection.bodySite | preferred | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from 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-procedure` from the FHIR Standard
Specimen.container.type | preferred | LabSpecimenContainerEu `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab` from this IG
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Constraints

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 SpecimenEu

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | Laboratory Specimen 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 | O Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O Σ | 0..1 | Reference(Patient: Person | Patient: Animal | 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 ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
request | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected. ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite | O | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
bodySite | O | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:device |  | 0..1 | Reference(Device) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred) ele-1: All FHIR elements must have a @value or children
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` from the FHIR Standard
Specimen.type | preferred | LabSpecimenTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab` from this IG
Specimen.collection.bodySite | preferred | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Specimen.container.type | preferred | LabSpecimenContainerEu `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab` from this IG

#### Constraints

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 SpecimenEu

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | Laboratory Specimen
type | O | 0..1 | CodeableConcept | Kind of material that forms the specimen
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O | 0..1 | Reference(Patient: Person | Patient: Animal | 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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
request | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Slices for extension |  |  |  | Content/Rules for all slices
extension:bodySite | O | 0..1 | BodyStructure Reference(4.0.1) | Target anatomic location or structure
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
bodySite | O | 0..1 | CodeableConcept | Anatomical collection site
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
processing |  |  |  |
additive | O | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
type | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* | SpecimenEu | 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
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 | O Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
subject | O Σ | 0..1 | Reference(Patient: Person | Patient: Animal | 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
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | O | 0..* | Reference(ServiceRequest) | Why the specimen was collected.
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
collection | O | 0..1 | BackboneElement | Collection details
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite | O | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body structure: Laboratory) | 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 | 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 | O | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | O | 0..* | Reference(Substance | Substance: Specimen Additive Substance) | Material used in the processing step
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHOULD:able-to-populate | LabReportCreator
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container | O | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
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 | Reference(Device) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
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 | O | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: Specimen Container (preferred)
Obligations | Actor
SHALL:handle | LabReportRepos
SHALL:handle | LabReportConsumer
SHALL:able-to-populate | LabReportCreator
capacity |  | 0..1 | SimpleQuantity | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity | Quantity of specimen within container
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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` from the FHIR Standard
Specimen.type | preferred | LabSpecimenTypesEuVs `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab` from this IG
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method` from the FHIR Standard
Specimen.collection.bodySite | preferred | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from 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-procedure` from the FHIR Standard
Specimen.container.type | preferred | LabSpecimenContainerEu `http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab` from this IG
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Constraints

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 SpecimenEu

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron