HL7 BE Laboratory WG Implementation Guide
1.0.1 - STU

HL7 BE Laboratory WG Implementation Guide, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/lab/ and changes regularly. See the Directory of published versions

## Resource Profile: BeSpecimenLaboratory

Official URL: https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory | Version: 1.0.1
Draft as of 2021-11-08 | Maturity Level: 1 | Computable Name: BeSpecimenLaboratory

Belgian profile for a specimen in a laboratory report. In some laboratory reports, specimen information is allowed to be minimal as many informations concerning the specimen are implied by the observations done.

Usages:

- Refer to this Profile: BeLaboratoryReport, BeObservationLaboratory and BeSpecimenLaboratory
- Examples for this Profile: Specimen/urine1

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | S Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject | S Σ | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection | S | 0..1 | BackboneElement | Collection details
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | S Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | example | hl7VS-specimenType | 📦3.0.0 | THO v7.1
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦3.0.0 | THO v7.1
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
text |  |  |  |
status |  | 1..1 | code | generated | extensions | additional | empty Required Pattern: empty
identifier | S | 0..* | Identifier | External Identifier
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type | S | 0..1 | CodeableConcept | Kind of material that forms the specimen
subject | S | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection | S | 0..1 | BackboneElement | Collection details
collected[x] |  | 0..1 | dateTime, Period | Collection time
duration |  | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site
fastingStatus[x] |  | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
condition | S | 0..* | CodeableConcept | State of the specimen
note | S | 0..* | Annotation | Comments
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
status |  | 1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: empty
div | C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | S Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject | S Σ | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance) | 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
extension |  | 0..* | Extension | Additional content defined by implementations
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: SpecimenContainerType (example): Type of specimen container.
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
additive[x] |  | 0..1 |  | Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept |  |  | CodeableConcept |
additiveReference |  |  | Reference(Substance) |
condition | S Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.text.status | Base | required | NarrativeStatus | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | example | hl7VS-specimenType | 📦3.0.0 | THO v7.1
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦3.0.0 | THO v7.1
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | example | Specimen Container Type | 📍4.0.1 | FHIR Std.
Specimen.container.additive[x] | Base | example | hl7VS-additivePreservative | 📦3.0.0 | THO v7.1
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
txt-1 | error | Specimen.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | Specimen.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

This structure is derived from Specimen

Summary

Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeSpecimenLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | S Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject | S Σ | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection | S | 0..1 | BackboneElement | Collection details
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
condition | S Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | example | hl7VS-specimenType | 📦3.0.0 | THO v7.1
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦3.0.0 | THO v7.1
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
text |  |  |  |
status |  | 1..1 | code | generated | extensions | additional | empty Required Pattern: empty
identifier | S | 0..* | Identifier | External Identifier
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type | S | 0..1 | CodeableConcept | Kind of material that forms the specimen
subject | S | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection | S | 0..1 | BackboneElement | Collection details
collected[x] |  | 0..1 | dateTime, Period | Collection time
duration |  | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site
fastingStatus[x] |  | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.)
condition | S | 0..* | CodeableConcept | State of the specimen
note | S | 0..* | Annotation | Comments
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
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
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
status |  | 1..1 | code | generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: empty
div | C | 1..1 | xhtml | Limited xhtml content Constraints: txt-1, txt-2
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | S Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject | S Σ | 0..1 | Reference(Group | Device | Substance | Location | Patient core BE profile) | In the initial iteration of the Belgium lab project: when sending to eHealthBox, this is BePatient.
receivedTime | S Σ | 0..1 | dateTime | The time when specimen was received for processing
parent | S | 0..* | Reference(BeSpecimenLaboratory) | Specimen from which this specimen originated
request | S | 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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | The quantity of specimen collected
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details to include when not implicit from specimen.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..1 | string | Textual description of procedure
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive |  | 0..* | Reference(Substance) | 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
extension |  | 0..* | Extension | Additional content defined by implementations
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: SpecimenContainerType (example): Type of specimen container.
capacity |  | 0..1 | SimpleQuantity(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | Quantity of specimen within container
additive[x] |  | 0..1 |  | Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept |  |  | CodeableConcept |
additiveReference |  |  | Reference(Substance) |
condition | S Σ | 0..* | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note | S | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.text.status | Base | required | NarrativeStatus | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | example | hl7VS-specimenType | 📦3.0.0 | THO v7.1
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦3.0.0 | THO v7.1
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | example | Specimen Container Type | 📍4.0.1 | FHIR Std.
Specimen.container.additive[x] | Base | example | hl7VS-additivePreservative | 📦3.0.0 | THO v7.1
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦3.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
txt-1 | error | Specimen.text.div | The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes | `htmlChecks()`
txt-2 | error | Specimen.text.div | The narrative SHALL have some non-whitespace content | `htmlChecks()`

This structure is derived from Specimen

Summary

Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Patient core BE profile (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BeSpecimenLaboratory (https://www.ehealth.fgov.be/standards/fhir/lab/StructureDefinition/be-specimen-laboratory)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron