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 1.11.0 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.

Usages:

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

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..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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)
coding	Σ	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
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
collection	S	0..1	BackboneElement	Collection details
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
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
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 Constraints: ch-elm-dateTime
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()

This structure is derived from ChLabSpecimen

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	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 Constraints: ch-elm-dateTime
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    Filter: Bindings Constraints Obligations
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 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	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	Σ	0..1	ChElmCoding	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
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
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 Constraints: ch-elm-dateTime
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
extension:device		0..1	Reference(Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		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]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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)
coding	Σ	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
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
collection	S	0..1	BackboneElement	Collection details
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
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
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 Constraints: ch-elm-dateTime
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()

Differential View

This structure is derived from ChLabSpecimen

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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	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 Constraints: ch-elm-dateTime
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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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 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	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	Σ	0..1	ChElmCoding	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
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
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 Constraints: ch-elm-dateTime
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
extension:device		0..1	Reference(Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		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