Specimen - England Pathology and Laboratory Medicine (PaLM) Technical Framework v0.1.0

England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Specimen

Official URL: https://examplesihe.org.uk/StructureDefinition/Specimen				Version: 0.1.0	Highlight text changes?
Draft as of 2026-11-04					Computable Name: Specimen

Diagnostic - Laboratory Specimen Collection A specimen collected for laboratory testing (HL7 v2 SPM).

Usages:

Use this Profile: Bundle - Laboratory Report Document
Refer to this Profile: Laboratory Order, Laboratory Report and Laboratory Result
Examples for this Profile: Specimen/SpecimenFBC

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenEu	Laboratory Specimen
Specimen.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.Slices for extension				Content/Rules for all slices
Specimen.Slices for extension.extension:focus		0..1	Reference(Patient \| RelatedPerson \| Group \| Device \| Substance \| Location \| BiologicallyDerivedProduct)	The entity the specimen was collected from, when it is not the subject of record URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
Specimen.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.Slices for identifier	This element must be supported. This element is included in summaries.	0..*	Identifier	External Identifier Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Specimen.Slices for identifier.identifier:placerSpecimenNumber	This element must be supported. This element is included in summaries.	0..1	CorrelationIdentifier	Specimen number assigned by the Order Placer, e.g. on the specimen label (HL7 v2 SPM-2.1 Placer Assigned Identifier)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Specimen.Slices for identifier.identifier:placerSpecimenNumber.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required) Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" } ] }`
Specimen.Slices for identifier.identifier:placerSpecimenNumber.system	This element must be supported. This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Specimen.Slices for identifier.identifier:placerSpecimenNumber.value	This element must be supported. This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner	This element must be supported. This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier	This element must be supported. This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Specimen.accessionIdentifier	This element must be supported. This element is included in summaries.	0..1	AccessionIdentifier	Laboratory number assigned when received (HL7 v2 SPM-2.2 Filler Assigned Identifier)
Specimen.status	This element is a modifier element. This element is included in summaries.	0..1	code	available \| unavailable \| unsatisfactory \| entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	HL7 v2 SPM-4 Specimen Type (SNOMED CT specimen) Binding: Specimen Types (preferred)
Specimen.subject	This element must be supported. This element is included in summaries.	1..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
Specimen.receivedTime	This element must be supported. This element is included in summaries.	0..1	dateTime	HL7 v2 SPM-18 Specimen Received Date/Time
Specimen.collection	This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collected[x]	This element must be supported. This element is included in summaries.	0..1		HL7 v2 SPM-17 Specimen Collection Date/Time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.method		0..1	CodeableConcept	HL7 v2 SPM-7 Specimen Collection Method Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite	This element must be supported.	0..1	CodeableConcept	HL7 v2 SPM-8 Specimen Source Site Binding: SNOMEDCTBodyStructures (preferred)
Specimen.collection.bodySite.Slices for extension				Content/Rules for all slices
Specimen.collection.bodySite.Slices for extension.extension:bodySite		0..1	(Complex)	R5: bodySite additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite
Specimen.collection.bodySite.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Specimen.collection.bodySite.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite"
Specimen.note		0..*	Annotation	HL7 v2 SPM-14 Specimen Description
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.identifier:placerSpecimenNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Specimen.identifier:placerSpecimenNumber.assigner.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	preferred	Specimen Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Specimen.collection.method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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 SpecimenEu

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenEu	Laboratory Specimen
Specimen.Slices for identifier	This element must be supported.	0..*	Identifier	External Identifier Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Specimen.Slices for identifier.identifier:placerSpecimenNumber	This element must be supported.	0..1	CorrelationIdentifier	Specimen number assigned by the Order Placer, e.g. on the specimen label (HL7 v2 SPM-2.1 Placer Assigned Identifier)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.type		1..1	CodeableConcept	Description of identifier Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" } ] }`
Specimen.accessionIdentifier	This element must be supported.	0..1	AccessionIdentifier	Laboratory number assigned when received (HL7 v2 SPM-2.2 Filler Assigned Identifier)
Specimen.type	This element must be supported.	1..1	CodeableConcept	HL7 v2 SPM-4 Specimen Type (SNOMED CT specimen)
Specimen.subject	This element must be supported.	1..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
Specimen.receivedTime	This element must be supported.	0..1	dateTime	HL7 v2 SPM-18 Specimen Received Date/Time
Specimen.collection	This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.collected[x]	This element must be supported.	0..1	dateTime, Period	HL7 v2 SPM-17 Specimen Collection Date/Time
Specimen.collection.method		0..1	CodeableConcept	HL7 v2 SPM-7 Specimen Collection Method
Specimen.collection.bodySite	This element must be supported.	0..1	CodeableConcept	HL7 v2 SPM-8 Specimen Source Site
Specimen.note		0..*	Annotation	HL7 v2 SPM-14 Specimen Description
Documentation for this format

Description & Constraints Filter:

Specimen 0..* SpecimenEu Laboratory Specimen

Specimen.id This element is included in summaries. 0..1 id Logical id of this artifact

Specimen.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Specimen.implicitRules This element is a modifier element. This element is included in summaries. 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

Specimen.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

Specimen.contained 0..* Resource Contained, inline Resources

Specimen.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Specimen.Slices for extension.extension:focus 0..1 Reference(Patient | RelatedPerson | Group | Device | Substance | Location | BiologicallyDerivedProduct) The entity the specimen was collected from, when it is not the subject of record
URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus

Specimen.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Specimen.Slices for identifier This element must be supported. This element is included in summaries. 0..* Identifier External Identifier
Slice: Unordered, Open by value:type

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Specimen.Slices for identifier.identifier:placerSpecimenNumber This element must be supported. This element is included in summaries. 0..1 CorrelationIdentifier Specimen number assigned by the Order Placer, e.g. on the specimen label (HL7 v2 SPM-2.1 Placer Assigned Identifier)

Specimen.Slices for identifier.identifier:placerSpecimenNumber.id 0..1 string Unique id for inter-element referencing

Specimen.Slices for identifier.identifier:placerSpecimenNumber.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Specimen.Slices for identifier.identifier:placerSpecimenNumber.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

type

1..1

CodeableConcept

Description of identifier
Binding: NW IdentifierType (required)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PLAC"
    }
  ]
}

Specimen.Slices for identifier.identifier:placerSpecimenNumber.system This element must be supported. This element is included in summaries. 0..1 uri Recommended. This may be defined by a EPR/LIMS system.
Example General: http://www.acme.com/identifiers/patient

Specimen.Slices for identifier.identifier:placerSpecimenNumber.value This element must be supported. This element is included in summaries. 1..1 string The value MUST be unique to the organisation
Example General: 123456

Specimen.Slices for identifier.identifier:placerSpecimenNumber.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner This element must be supported. This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.id 0..1 string Unique id for inter-element referencing

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.type This element is included in summaries. 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).

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier This element must be supported. This element is included in summaries. 1..1 Identifier Logical reference, when literal reference is not known

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.id 0..1 string Unique id for inter-element referencing

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456
Example Manchester University NHS Foundation Trust: R0A

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.display This element is included in summaries. 0..1 string Text alternative for the resource

Specimen.accessionIdentifier This element must be supported. This element is included in summaries. 0..1 AccessionIdentifier Laboratory number assigned when received (HL7 v2 SPM-2.2 Filler Assigned Identifier)

Specimen.status This element is a modifier element. This element is included in summaries. 0..1 code available | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

Specimen.type This element must be supported. This element is included in summaries. 1..1 CodeableConcept HL7 v2 SPM-4 Specimen Type (SNOMED CT specimen)
Binding: Specimen Types (preferred)

Specimen.subject This element must be supported. This element is included in summaries. 1..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

Specimen.receivedTime This element must be supported. This element is included in summaries. 0..1 dateTime HL7 v2 SPM-18 Specimen Received Date/Time

Specimen.parent 0..* Reference(Specimen: Laboratory) Specimen from which this specimen originated

Specimen.request 0..* Reference(ServiceRequest) Why the specimen was collected.

Specimen.collection This element must be supported. 0..1 BackboneElement Collection details

Specimen.collection.id 0..1 string Unique id for inter-element referencing

Specimen.collection.extension 0..* Extension Additional content defined by implementations

Specimen.collection.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Specimen.collection.collector This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen

Specimen.collection.collector.id 0..1 string Unique id for inter-element referencing

Specimen.collection.collector.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Specimen.collection.collector.Slices for extension.extension:collector 0..1 (Complex) Patient or related person who collected the specimen
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference

Specimen.collection.collector.Slices for extension.extension:collector.id 0..1 string Unique id for inter-element referencing

Specimen.collection.collector.Slices for extension.extension:collector.extension 0..0 Extension
Slice: Unordered, Open by value:url

Specimen.collection.collector.Slices for extension.extension:collector.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/alternate-reference"

Specimen.collection.collector.Slices for extension.extension:collector.value[x] 1..1 Reference(Patient (EU core) | RelatedPerson) Value of extension

Specimen.collection.collector.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Specimen.collection.collector.type This element is included in summaries. 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).

Specimen.collection.collector.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Specimen.collection.collector.display This element is included in summaries. 0..1 string Text alternative for the resource

Specimen.collection.collected[x] This element must be supported. This element is included in summaries. 0..1 HL7 v2 SPM-17 Specimen Collection Date/Time

Specimen.collection.collected[x].collectedDateTime dateTime

Specimen.collection.collected[x].collectedPeriod Period

Specimen.collection.duration This element is included in summaries. 0..1 Duration How long it took to collect specimen

Specimen.collection.quantity C 0..1 SimpleQuantity(4.0.1) The quantity of specimen collected
Constraints: sqty-1

Specimen.collection.method 0..1 CodeableConcept HL7 v2 SPM-7 Specimen Collection Method
Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.

Specimen.collection.bodySite This element must be supported. 0..1 CodeableConcept HL7 v2 SPM-8 Specimen Source Site
Binding: SNOMEDCTBodyStructures (preferred)

Specimen.collection.bodySite.id 0..1 string Unique id for inter-element referencing

Specimen.collection.bodySite.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Specimen.collection.bodySite.Slices for extension.extension:bodySite 0..1 (Complex) R5: bodySite additional types
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite

Specimen.collection.bodySite.Slices for extension.extension:bodySite.id 0..1 string Unique id for inter-element referencing

Specimen.collection.bodySite.Slices for extension.extension:bodySite.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Specimen.collection.bodySite.Slices for extension.extension:bodySite.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite"

Specimen.collection.bodySite.Slices for extension.extension:bodySite.value[x] 0..1 Reference(BodyStructure (EU core)) Anatomical collection site

Specimen.collection.bodySite.coding This element is included in summaries. 0..* Coding Code defined by a terminology system

Specimen.collection.bodySite.text This element is included in summaries. 0..1 string Plain text representation of the concept

Specimen.collection.fastingStatus[x] This element is included in summaries. 0..1 Whether or how long patient abstained from food and/or drink
Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.

Specimen.collection.fastingStatus[x].fastingStatusCodeableConcept CodeableConcept

Specimen.collection.fastingStatus[x].fastingStatusDuration Duration

Specimen.processing 0..* BackboneElement Processing and processing step details

Specimen.processing.id 0..1 string Unique id for inter-element referencing

Specimen.processing.extension 0..* Extension Additional content defined by implementations

Specimen.processing.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Specimen.processing.description 0..1 string Textual description of procedure

Specimen.processing.procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.

Specimen.processing.additive 0..* Reference(Substance | Substance: Specimen Additive Substance) Material used in the processing step

Specimen.processing.time[x] 0..1 Date and time of specimen processing

Specimen.processing.time[x].timeDateTime dateTime

Specimen.processing.time[x].timePeriod Period

Specimen.container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)

Specimen.container.id 0..1 string Unique id for inter-element referencing

Specimen.container.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Specimen.container.Slices for extension.extension:device 1..1 (Complex) R5: Device resource for the container (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
Constraints: ext-1

Specimen.container.Slices for extension.extension:device.id 0..1 string Unique id for inter-element referencing

Specimen.container.Slices for extension.extension:device.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Specimen.container.Slices for extension.extension:device.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device"

Specimen.container.Slices for extension.extension:device.value[x] 1..1 Reference(Device) Device resource for the container

Specimen.container.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Specimen.container.identifier This element is included in summaries. 0..* Identifier Id for the container

Specimen.container.description 0..1 string Textual description of the container

Specimen.container.type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: Specimen Container (preferred)

Specimen.container.capacity C 0..1 SimpleQuantity(4.0.1) Container volume or size
Constraints: sqty-1

Specimen.container.specimenQuantity C 0..1 SimpleQuantity(4.0.1) Quantity of specimen within container
Constraints: sqty-1

Specimen.condition This element is included in summaries. 0..* CodeableConcept State of the specimen
Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.

Specimen.note 0..* Annotation HL7 v2 SPM-14 Specimen Description

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Specimen.identifier:placerSpecimenNumber.assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.assigner.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.assigner.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	preferred	Specimen Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Specimen.collection.collector.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Specimen.collection.method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Specimen.collection.fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📍3.0.0	THO v7.5
Specimen.processing.procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	preferred	Specimen Container	📦2.1.0	HL7 Europe Laboratory Report v2.1
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📍3.0.0	THO v7.5

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()`
sqty-1	error	Specimen.collection.quantity, Specimen.container.capacity, Specimen.container.specimenQuantity	The comparator is not used on a SimpleQuantity	`comparator.empty()`

This structure is derived from SpecimenEu

Summary

Mandatory: 2 elements(1 nested mandatory element)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Specimen.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenEu	Laboratory Specimen
Specimen.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.Slices for extension				Content/Rules for all slices
Specimen.Slices for extension.extension:focus		0..1	Reference(Patient \| RelatedPerson \| Group \| Device \| Substance \| Location \| BiologicallyDerivedProduct)	The entity the specimen was collected from, when it is not the subject of record URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
Specimen.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.Slices for identifier	This element must be supported. This element is included in summaries.	0..*	Identifier	External Identifier Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Specimen.Slices for identifier.identifier:placerSpecimenNumber	This element must be supported. This element is included in summaries.	0..1	CorrelationIdentifier	Specimen number assigned by the Order Placer, e.g. on the specimen label (HL7 v2 SPM-2.1 Placer Assigned Identifier)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Specimen.Slices for identifier.identifier:placerSpecimenNumber.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Description of identifier Binding: NW IdentifierType (required) Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" } ] }`
Specimen.Slices for identifier.identifier:placerSpecimenNumber.system	This element must be supported. This element is included in summaries.	0..1	uri	Recommended. This may be defined by a EPR/LIMS system. Example General: http://www.acme.com/identifiers/patient
Specimen.Slices for identifier.identifier:placerSpecimenNumber.value	This element must be supported. This element is included in summaries.	1..1	string	The value MUST be unique to the organisation Example General: 123456
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner	This element must be supported. This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier	This element must be supported. This element is included in summaries.	1..1	Identifier	Logical reference, when literal reference is not known
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.nhs.uk/Id/ods-organization-code (extensions allowed)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.assigner.identifier.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456 Example Manchester University NHS Foundation Trust: R0A
Specimen.accessionIdentifier	This element must be supported. This element is included in summaries.	0..1	AccessionIdentifier	Laboratory number assigned when received (HL7 v2 SPM-2.2 Filler Assigned Identifier)
Specimen.status	This element is a modifier element. This element is included in summaries.	0..1	code	available \| unavailable \| unsatisfactory \| entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	HL7 v2 SPM-4 Specimen Type (SNOMED CT specimen) Binding: Specimen Types (preferred)
Specimen.subject	This element must be supported. This element is included in summaries.	1..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
Specimen.receivedTime	This element must be supported. This element is included in summaries.	0..1	dateTime	HL7 v2 SPM-18 Specimen Received Date/Time
Specimen.collection	This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collected[x]	This element must be supported. This element is included in summaries.	0..1		HL7 v2 SPM-17 Specimen Collection Date/Time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.method		0..1	CodeableConcept	HL7 v2 SPM-7 Specimen Collection Method Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite	This element must be supported.	0..1	CodeableConcept	HL7 v2 SPM-8 Specimen Source Site Binding: SNOMEDCTBodyStructures (preferred)
Specimen.collection.bodySite.Slices for extension				Content/Rules for all slices
Specimen.collection.bodySite.Slices for extension.extension:bodySite		0..1	(Complex)	R5: bodySite additional types URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite
Specimen.collection.bodySite.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Specimen.collection.bodySite.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.bodySite"
Specimen.note		0..*	Annotation	HL7 v2 SPM-14 Specimen Description
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.identifier:placerSpecimenNumber.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:placerSpecimenNumber.type	Base	required	NW IdentifierType	📦0.1.0	This IG
Specimen.identifier:placerSpecimenNumber.assigner.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	preferred	Specimen Types	📦2.1.0	HL7 Europe Laboratory Report v2.1
Specimen.collection.method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

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 SpecimenEu

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Specimen		0..*	SpecimenEu	Laboratory Specimen
Specimen.Slices for identifier	This element must be supported.	0..*	Identifier	External Identifier Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Specimen.Slices for identifier.identifier:placerSpecimenNumber	This element must be supported.	0..1	CorrelationIdentifier	Specimen number assigned by the Order Placer, e.g. on the specimen label (HL7 v2 SPM-2.1 Placer Assigned Identifier)
Specimen.Slices for identifier.identifier:placerSpecimenNumber.type		1..1	CodeableConcept	Description of identifier Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "PLAC" } ] }`
Specimen.accessionIdentifier	This element must be supported.	0..1	AccessionIdentifier	Laboratory number assigned when received (HL7 v2 SPM-2.2 Filler Assigned Identifier)
Specimen.type	This element must be supported.	1..1	CodeableConcept	HL7 v2 SPM-4 Specimen Type (SNOMED CT specimen)
Specimen.subject	This element must be supported.	1..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
Specimen.receivedTime	This element must be supported.	0..1	dateTime	HL7 v2 SPM-18 Specimen Received Date/Time
Specimen.collection	This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.collected[x]	This element must be supported.	0..1	dateTime, Period	HL7 v2 SPM-17 Specimen Collection Date/Time
Specimen.collection.method		0..1	CodeableConcept	HL7 v2 SPM-7 Specimen Collection Method
Specimen.collection.bodySite	This element must be supported.	0..1	CodeableConcept	HL7 v2 SPM-8 Specimen Source Site
Specimen.note		0..*	Annotation	HL7 v2 SPM-14 Specimen Description
Documentation for this format

Snapshot ViewView

Description & Constraints Filter:

Specimen 0..* SpecimenEu Laboratory Specimen

Specimen.id This element is included in summaries. 0..1 id Logical id of this artifact

Specimen.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Specimen.implicitRules This element is a modifier element. This element is included in summaries. 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

Specimen.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

Specimen.contained 0..* Resource Contained, inline Resources

Specimen.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Specimen.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Specimen.Slices for identifier.identifier:placerSpecimenNumber.id 0..1 string Unique id for inter-element referencing

Specimen.Slices for identifier.identifier:placerSpecimenNumber.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

type

1..1

CodeableConcept

Description of identifier
Binding: NW IdentifierType (required)
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
      "code" : "PLAC"
    }
  ]
}