HL7 Czech Base and Core Implementation Guide
0.3.0-ballot - ci-build

HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions

## Resource Profile: Specimen (CZ)

Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-specimen | Version: 0.3.0-ballot
Draft as of 2025-12-19 | Computable Name: CZ_Specimen

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

Specimens are samples of material that may be:

• taken from a biological entity, living or dead

• taken from a physical object or environment

Some samples are biological and may contain one or more components including, but not limited to, cellular molecules, cells, tissues, organs, body fluids, embryos, and body excretions. The source of samples includes substances used for diagnostic and environmental testing. The focus of sample sources is on the process of collecting, maintaining, and processing the sample, as well as where the sample came from.

Usages:

- Refer to this Profile: Specimen (CZ)
- Examples for this Profile: Specimen/Specimen-example-animal and Specimen/Specimen-example-environment

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S Σ | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
condition | S 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.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
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 Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
identifier | S | 0..* | Identifier | External Identifier
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type |  | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(Body Structure (CZ)) | Value of extension
collector |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who collected the specimen
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
container |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
value[x] |  | 1..1 | Reference(Medical Device (CZ)) | Value of extension
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container (preferred)
additive[x] |  | 0..0 |  | Additive associated with container
condition | S | 0..* | CodeableConcept | State of the specimen
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container | Not State | Unknown

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S Σ | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 0..1 | BackboneElement | Collection details
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ)) | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device"
value[x] |  | 1..1 | Reference(Medical Device (CZ)) | Value of extension
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: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container (preferred)
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
condition | S 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 | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
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 | 📦2.0.0 | THO v7.0
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container | Not State | Unknown
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 Specimen

Summary

Must-Support: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
- Body Structure (CZ) (https://hl7.cz/fhir/core/StructureDefinition/BodyStructure-cz)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Substance: Specimen Additive Substance (CZ) (https://hl7.cz/fhir/core/StructureDefinition/Substance-additive-cz)

Extensions

This structure refers to these extensions:

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S Σ | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
condition | S 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.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
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()`

Differential View

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
identifier | S | 0..* | Identifier | External Identifier
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type |  | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
value[x] |  | 1..1 | Reference(Body Structure (CZ)) | Value of extension
collector |  | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who collected the specimen
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
container |  |  |  |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
value[x] |  | 1..1 | Reference(Medical Device (CZ)) | Value of extension
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container (preferred)
additive[x] |  | 0..0 |  | Additive associated with container
condition | S | 0..* | CodeableConcept | State of the specimen
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
Specimen.collection.​bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container | Not State | Unknown

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Czech Specimen
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs (preferred)
subject | S Σ | 0..1 | Reference(Group | Device: Performer/Observer (CZ) | Medical Device (CZ) | Substance | Location (CZ core) | Patient (CZ core)) | In the initial iteration of the Czech interoperability project, this is CZ_PatientCore.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(Specimen (CZ)) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 0..1 | BackboneElement | Collection details
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:bodySite |  | 0..1 | (Complex) | Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/bodySite"
value[x] |  | 1..1 | Reference(Body Structure (CZ)) | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance | Substance: Specimen Additive Substance (CZ)) | Material used in the processing step
time[x] |  | 0..1 |  | Date and time of specimen processing
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:device |  | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device"
value[x] |  | 1..1 | Reference(Medical Device (CZ)) | Value of extension
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: https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container (preferred)
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
condition | S 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 | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-type-vs | Not State | Unknown
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 | 📦2.0.0 | THO v7.0
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | preferred | https://ncez.mzcr.cz/terminology/ValueSet/cz-specimen-container | Not State | Unknown
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 Specimen

Summary

Must-Support: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Specimen (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-specimen)
- Body Structure (CZ) (https://hl7.cz/fhir/core/StructureDefinition/BodyStructure-cz)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Substance: Specimen Additive Substance (CZ) (https://hl7.cz/fhir/core/StructureDefinition/Substance-additive-cz)

Extensions

This structure refers to these extensions:

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

Other representations of profile: CSV, Excel, Schematron