CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.8.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CH ELM Specimen: Laboratory

This CH ELM base profile constrains the Specimen resource for the purpose of laboratory test reports.

Usage:

• Use this Resource Profile: CH ELM Document: Laboratory Report
• Refer to this Resource Profile: CH ELM DiagnosticReport: Laboratory Report, CH ELM Observation Results: Laboratory and CH ELM ServiceRequest: Laboratory Order

Formal Views of Profile Content

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

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

This structure is derived from ChLabSpecimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
type		0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result'
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
subject		1..1	Reference(CH ELM 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
collection	S	0..1	BackboneElement	Collection details
Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this
collected[x]:collectedDateTime	SC	0..1	dateTime	Collection time ch-elm-dateTime: At least the format YYYY-MM-DD is required.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred) ele-1: All FHIR elements must have a @value or children
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH ELM Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
collection	S	0..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣC	0..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children ch-elm-dateTime: At least the format YYYY-MM-DD is required.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	LabSpecimenTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10
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()

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	Σ	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CH ELM Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(CH LAB-Report 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣC	0..1	dateTime	Collection time ch-elm-dateTime: At least the format YYYY-MM-DD is required.
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (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
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 | CH LAB-Report Additive 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
device		0..1	Reference(Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: Specimen Container (preferred)
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	LabSpecimenTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	preferred	LabSpecimenContainerEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10
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 ChLabSpecimen

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CH ELM Coding (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-coding)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.collection.collected[x]

Differential View

This structure is derived from ChLabSpecimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
type		0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result'
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
subject		1..1	Reference(CH ELM 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
collection	S	0..1	BackboneElement	Collection details
Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this
collected[x]:collectedDateTime	SC	0..1	dateTime	Collection time ch-elm-dateTime: At least the format YYYY-MM-DD is required.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred) ele-1: All FHIR elements must have a @value or children
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH ELM Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
collection	S	0..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣC	0..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children ch-elm-dateTime: At least the format YYYY-MM-DD is required.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	LabSpecimenTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	Σ	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding		0..1	ChElmCoding	A reference to a code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(CH ELM Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(CH LAB-Report 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣC	0..1	dateTime	Collection time ch-elm-dateTime: At least the format YYYY-MM-DD is required.
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (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
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 | CH LAB-Report Additive 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
device		0..1	Reference(Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: Specimen Container (preferred)
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	LabSpecimenTypesEuVs http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenType-eu-lab
Specimen.type.coding	required	ChElmResultsCompleteSpec http://fhir.ch/ig/ch-elm/ValueSet/ch-elm-results-complete-spec from this IG
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	preferred	LabSpecimenContainerEu http://hl7.eu/fhir/laboratory/ValueSet/lab-specimenContainer-eu-lab
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-elm-dateTime	error	Specimen.collection.collected[x]:collectedDateTime	At least the format YYYY-MM-DD is required. : $this.toString().length() >= 10
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 ChLabSpecimen

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CH ELM Coding (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-coding)
• CH ELM Patient (http://fhir.ch/ig/ch-elm/StructureDefinition/ch-elm-patient)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.collection.collected[x]

Other representations of profile: CSV, Excel, Schematron