Kenya Patient Summary FHIR IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Specimen Profile - KPS

This profile defines constraints on the Specimen resource for use within the Kenya Patient Summary. It captures information about biological samples collected from a patient, supporting diagnostic procedures, continuity of care, and data exchange within the national Health Information Exchange (HIE).

Usages:

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

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..*	SpecimenUvIps	Sample for analysis
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:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required) Additional Bindings Purpose Results Specimen Type - SNOMED CT IPS Free Set candidate
subject	SΣ	1..1	Reference(Patient (IPS))	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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
collection	S	0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1		Collection time
collectedDateTime			dateTime
collectedPeriod			Period
processing	S	0..*	BackboneElement	Processing and processing step details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description	S	0..1	string	Textual description of procedure
note	S	0..*	Annotation	Comments
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	required	Specimen Type ValueSet	📦0.1.0	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 SpecimenUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenUvIps	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
status	S	1..1	code	available | unavailable | unsatisfactory | entered-in-error
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required)
subject	S	1..1	Reference(Patient (IPS))	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	0..1	dateTime	The time when specimen was received for processing
collection	S	0..1	BackboneElement	Collection details
collector	S	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime, Period	Collection time
processing	S	0..*	BackboneElement	Processing and processing step details
description	S	0..1	string	Textual description of procedure
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type	Base	required	Specimen Type ValueSet	📦0.1.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenUvIps	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. 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:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
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	?!SΣ	1..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required) Additional Bindings Purpose Results Specimen Type - SNOMED CT IPS Free Set candidate
subject	SΣ	1..1	Reference(Patient (IPS))	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
receivedTime	SΣ	0..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	S	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	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	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	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: FHIRSpecimenCollectionMethod (preferred)
bodySite		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Body Site - IPS (preferred)
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(CodeableConceptIPS)
fastingStatusDuration			Duration
processing	S	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	S	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	S	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	required	Specimen Type ValueSet	📦0.1.0	This IG
Specimen.subject.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Specimen.collection.​method	Base	preferred	FHIR Specimen Collection Method	📦4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	Body Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦2.0.0	THO v7.0
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📦4.0.1	FHIR Std.
Specimen.container.type	Base	example	Specimen Container Type	📦4.0.1	FHIR Std.
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦2.0.0	THO v7.0
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📦2.0.0	THO v7.0

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 SpecimenUvIps

Summary

Mandatory: 2 elements
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

• https://example.org/fhir/StructureDefinition/specimen-priority
• https://example.org/fhir/StructureDefinition/collection-context

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenUvIps	Sample for analysis
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:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required) Additional Bindings Purpose Results Specimen Type - SNOMED CT IPS Free Set candidate
subject	SΣ	1..1	Reference(Patient (IPS))	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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
collection	S	0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1		Collection time
collectedDateTime			dateTime
collectedPeriod			Period
processing	S	0..*	BackboneElement	Processing and processing step details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description	S	0..1	string	Textual description of procedure
note	S	0..*	Annotation	Comments
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	required	Specimen Type ValueSet	📦0.1.0	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 SpecimenUvIps

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenUvIps	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
status	S	1..1	code	available | unavailable | unsatisfactory | entered-in-error
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required)
subject	S	1..1	Reference(Patient (IPS))	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	0..1	dateTime	The time when specimen was received for processing
collection	S	0..1	BackboneElement	Collection details
collector	S	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime, Period	Collection time
processing	S	0..*	BackboneElement	Processing and processing step details
description	S	0..1	string	Textual description of procedure
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type	Base	required	Specimen Type ValueSet	📦0.1.0	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenUvIps	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. 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:priority	S	0..1	CodeableConcept	Specimen Priority URL: https://example.org/fhir/StructureDefinition/specimen-priority Binding: Specimen Priority ValueSet (preferred)
extension:collectionContext	S	0..1	CodeableConcept	Collection Context URL: https://example.org/fhir/StructureDefinition/collection-context Binding: Specimen Collection ValueSet (preferred)
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	?!SΣ	1..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	S	1..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Specimen Type ValueSet (required) Additional Bindings Purpose Results Specimen Type - SNOMED CT IPS Free Set candidate
subject	SΣ	1..1	Reference(Patient (IPS))	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
receivedTime	SΣ	0..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	S	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	SΣ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	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	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: FHIRSpecimenCollectionMethod (preferred)
bodySite		0..1	CodeableConceptIPS	Concept - reference to a terminology or just text Binding: Body Site - IPS (preferred)
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(CodeableConceptIPS)
fastingStatusDuration			Duration
processing	S	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	S	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	S	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	required	Specimen Type ValueSet	📦0.1.0	This IG
Specimen.subject.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Specimen.collection.​method	Base	preferred	FHIR Specimen Collection Method	📦4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	Body Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦2.0.0	THO v7.0
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📦4.0.1	FHIR Std.
Specimen.container.type	Base	example	Specimen Container Type	📦4.0.1	FHIR Std.
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦2.0.0	THO v7.0
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📦2.0.0	THO v7.0

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 SpecimenUvIps

Summary

Mandatory: 2 elements
Must-Support: 12 elements

Extensions

This structure refers to these extensions:

• https://example.org/fhir/StructureDefinition/specimen-priority
• https://example.org/fhir/StructureDefinition/collection-context

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