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 1.16.0 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

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 Differentials, Snapshots, and other representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	ChLabSpecimen	CH Lab Specimen: Laboratory This profile also imposes the profile Specimen: Laboratory
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.status	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	Σ This element is included in summaries.	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
Specimen.type.coding	Σ This element is included in summaries.	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.subject	Σ This element is included in summaries.	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
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.Slices for extension				Content/Rules for all slices
Specimen.collection.Slices for extension.extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Specimen.collection.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
Specimen.collection.Slices for extension.extension:bodySite.value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.Slices for collected[x]	Σ This element is included in summaries.	0..1		Collection time Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collectedDateTime			dateTime
Specimen.collection.Slices for collected[x].collectedPeriod			Period
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
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	Specimen Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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
Specimen.type		0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result'
Specimen.type.coding		0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.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
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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
Specimen.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Specimen.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Specimen.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Specimen.contained		0..*	Resource	Contained, inline Resources
Specimen.extension		0..*	Extension	Additional content defined by implementations
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	Σ This element is included in summaries.	0..*	Identifier	External Identifier
Specimen.accessionIdentifier	Σ This element is included in summaries.	0..1	Identifier	Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	Σ This element is included in summaries.	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
Specimen.type.id		0..1	string	Unique id for inter-element referencing
Specimen.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.type.coding	Σ This element is included in summaries.	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Specimen.subject	Σ This element is included in summaries.	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
Specimen.receivedTime	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing
Specimen.parent		0..*	Reference(CH LAB-Report Specimen)	Specimen from which this specimen originated
Specimen.request		0..*	Reference(ServiceRequest)	Why the specimen was collected.
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Specimen.collection.Slices for extension.extension:bodySite.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
Specimen.collection.Slices for extension.extension:bodySite.value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collector	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Specimen.collection.Slices for collected[x]	Σ This element is included in summaries.	0..1		Collection time Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collectedDateTime			dateTime
Specimen.collection.Slices for collected[x].collectedPeriod			Period
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
Specimen.collection.duration	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen
Specimen.collection.quantity	C	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected Constraints: sqty-1
Specimen.collection.method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
Specimen.collection.fastingStatus[x]	Σ This element is included in summaries.	0..1		Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
Specimen.collection.fastingStatus[x].fastingStatusCodeableConcept			CodeableConcept
Specimen.collection.fastingStatus[x].fastingStatusDuration			Duration
Specimen.processing		0..*	BackboneElement	Processing and processing step details
Specimen.processing.id		0..1	string	Unique id for inter-element referencing
Specimen.processing.extension		0..*	Extension	Additional content defined by implementations
Specimen.processing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.processing.description		0..1	string	Textual description of procedure
Specimen.processing.procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Specimen.processing.additive		0..*	Reference(Substance | CH LAB-Report Additive Substance)	Material used in the processing step
Specimen.processing.time[x]		0..1		Date and time of specimen processing
Specimen.processing.time[x].timeDateTime			dateTime
Specimen.processing.time[x].timePeriod			Period
Specimen.container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
Specimen.container.id		0..1	string	Unique id for inter-element referencing
Specimen.container.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Specimen.container.Slices for extension.extension:device		0..1	Reference(Cross-version Profile for R5.Device for use in FHIR R4(0.1.0) | Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
Specimen.container.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.container.identifier	Σ This element is included in summaries.	0..*	Identifier	Id for the container
Specimen.container.description		0..1	string	Textual description of the container
Specimen.container.type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: Specimen Container (preferred)
Specimen.container.capacity	C	0..1	SimpleQuantity(4.0.1)	Container volume or size Constraints: sqty-1
Specimen.container.specimenQuantity	C	0..1	SimpleQuantity(4.0.1)	Quantity of specimen within container Constraints: sqty-1
Specimen.condition	Σ This element is included in summaries.	0..*	CodeableConcept	State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
Specimen.note		0..*	Annotation	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	Specimen Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📍3.0.0	THO v7.4
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	preferred	Specimen Container	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
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()
sqty-1	error	Specimen.collection.quantity, Specimen.container.capacity, Specimen.container.specimenQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from 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
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.status	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	Σ This element is included in summaries.	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
Specimen.type.coding	Σ This element is included in summaries.	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.subject	Σ This element is included in summaries.	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
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.Slices for extension				Content/Rules for all slices
Specimen.collection.Slices for extension.extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Specimen.collection.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
Specimen.collection.Slices for extension.extension:bodySite.value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.Slices for collected[x]	Σ This element is included in summaries.	0..1		Collection time Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collectedDateTime			dateTime
Specimen.collection.Slices for collected[x].collectedPeriod			Period
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
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	Specimen Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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
Specimen.type		0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result'
Specimen.type.coding		0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.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
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG

Constraints

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

Snapshot ViewView

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
Specimen.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Specimen.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Specimen.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Specimen.contained		0..*	Resource	Contained, inline Resources
Specimen.extension		0..*	Extension	Additional content defined by implementations
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	Σ This element is included in summaries.	0..*	Identifier	External Identifier
Specimen.accessionIdentifier	Σ This element is included in summaries.	0..1	Identifier	Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	Σ This element is included in summaries.	0..1	CodeableConcept	The mechanism to declare the collection material is described under 'Guidance - Laboratory Result' Binding: Specimen Types (preferred)
Specimen.type.id		0..1	string	Unique id for inter-element referencing
Specimen.type.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.type.coding	Σ This element is included in summaries.	0..1	ChElmCoding	Code defined by a terminology system Binding: CH ELM Results Complete Spec (required)
Specimen.type.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Specimen.subject	Σ This element is included in summaries.	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
Specimen.receivedTime	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing
Specimen.parent		0..*	Reference(CH LAB-Report Specimen)	Specimen from which this specimen originated
Specimen.request		0..*	Reference(ServiceRequest)	Why the specimen was collected.
Specimen.collection	S This element must be supported.	0..1	BackboneElement	Collection details
Specimen.collection.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite		0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Specimen.collection.Slices for extension.extension:bodySite.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.Slices for extension.extension:bodySite.extension		0..0		Extension Slice: Unordered, Open by value:url
Specimen.collection.Slices for extension.extension:bodySite.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
Specimen.collection.Slices for extension.extension:bodySite.value[x]		1..1	Reference(Body structure: Laboratory)	Value of extension
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collector	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Specimen.collection.Slices for collected[x]	Σ This element is included in summaries.	0..1		Collection time Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Specimen.collection.Slices for collected[x].collectedDateTime			dateTime
Specimen.collection.Slices for collected[x].collectedPeriod			Period
Specimen.collection.Slices for collected[x].collected[x]:collectedDateTime	S This element must be supported. Σ This element is included in summaries. C	0..1	dateTime	Collection time Constraints: ch-elm-dateTime
Specimen.collection.duration	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen
Specimen.collection.quantity	C	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected Constraints: sqty-1
Specimen.collection.method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (preferred)
Specimen.collection.fastingStatus[x]	Σ This element is included in summaries.	0..1		Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
Specimen.collection.fastingStatus[x].fastingStatusCodeableConcept			CodeableConcept
Specimen.collection.fastingStatus[x].fastingStatusDuration			Duration
Specimen.processing		0..*	BackboneElement	Processing and processing step details
Specimen.processing.id		0..1	string	Unique id for inter-element referencing
Specimen.processing.extension		0..*	Extension	Additional content defined by implementations
Specimen.processing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.processing.description		0..1	string	Textual description of procedure
Specimen.processing.procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Specimen.processing.additive		0..*	Reference(Substance | CH LAB-Report Additive Substance)	Material used in the processing step
Specimen.processing.time[x]		0..1		Date and time of specimen processing
Specimen.processing.time[x].timeDateTime			dateTime
Specimen.processing.time[x].timePeriod			Period
Specimen.container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
Specimen.container.id		0..1	string	Unique id for inter-element referencing
Specimen.container.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Specimen.container.Slices for extension.extension:device		0..1	Reference(Cross-version Profile for R5.Device for use in FHIR R4(0.1.0) | Device)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
Specimen.container.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.container.identifier	Σ This element is included in summaries.	0..*	Identifier	Id for the container
Specimen.container.description		0..1	string	Textual description of the container
Specimen.container.type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: Specimen Container (preferred)
Specimen.container.capacity	C	0..1	SimpleQuantity(4.0.1)	Container volume or size Constraints: sqty-1
Specimen.container.specimenQuantity	C	0..1	SimpleQuantity(4.0.1)	Quantity of specimen within container Constraints: sqty-1
Specimen.condition	Σ This element is included in summaries.	0..*	CodeableConcept	State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
Specimen.note		0..*	Annotation	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	Specimen Types	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.type.coding	Base	required	CH ELM Results Complete Spec	📦1.16.0	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📍3.0.0	THO v7.4
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	preferred	Specimen Container	📦0.1.1	HL7 Europe Laboratory Report v0.1
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📍3.0.0	THO v7.4

Constraints

Id	Grade	Path(s)	Description	Expression
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()
sqty-1	error	Specimen.collection.quantity, Specimen.container.capacity, Specimen.container.specimenQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from 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