Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:USID	Σ	1..1	Identifier	External Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://moh.bw.org/identifier/specimen-id
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Botswana Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing ele-1: All FHIR elements must have a @value or children
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected ele-1: All FHIR elements must have a @value or children
collection		1..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collected[x]	Σ	1..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
Slices for fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this Binding: v2 Relevant Clincial Information (extensible): Codes describing the fasting status of the patient. ele-1: All FHIR elements must have a @value or children
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required) ele-1: All FHIR elements must have a @value or children
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier:USID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	example	Hl7VSSpecimenType http://terminology.hl7.org/ValueSet/v2-0487
Specimen.collection.fastingStatus[x]	extensible	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916 from http://tx.fhir.org/r4
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Specimen			Specimen
Slices for identifier		1..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:USID		1..1	Identifier	External Identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/specimen-id
value		1..1	string	The value that is unique
type	S	0..1	CodeableConcept	Kind of material that forms the specimen
subject		1..1	Reference(Botswana 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	S	0..1	dateTime	The time when specimen was received for processing
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected
collection		1..1	BackboneElement	Collection details
collected[x]		1..1	dateTime	Collection time
Slices for fastingStatus[x]		0..1	CodeableConcept, Duration	Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this
fastingStatus[x]:fastingStatusCodeableConcept		0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required)
container
Slices for additive[x]		0..1	CodeableConcept, Reference(Substance)	Additive associated with container Slice: Unordered, Open by type:$this
additive[x]:additiveCodeableConcept		0..1	CodeableConcept	Additive associated with container Binding: v2.0371 (2.9) (required)
condition		0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.container.additive[x]:additiveCodeableConcept	required	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:USID	Σ	1..1	Identifier	External Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/specimen-id
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject	Σ	1..1	Reference(Botswana 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	SΣ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected
collection		1..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	1..1	dateTime	Collection time
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 (example): Codes describing anatomical locations. May include laterality.
Slices for fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this Binding: v2 Relevant Clincial Information (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required)
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
time[x]		0..1		Date and time of specimen processing
timeDateTime			dateTime
timePeriod			Period
container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
Slices for additive[x]		0..1		Additive associated with container Slice: Unordered, Open by type:$this Binding: v2 Additive (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveCodeableConcept		0..1	CodeableConcept	Additive associated with container Binding: v2.0371 (2.9) (required)
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required)
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.identifier:USID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier:USID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	example	Hl7VSSpecimenType http://terminology.hl7.org/ValueSet/v2-0487
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916 from http://tx.fhir.org/r4
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	example	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type from the FHIR Standard
Specimen.container.additive[x]	example	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371 from http://tx.fhir.org/r4
Specimen.container.additive[x]:additiveCodeableConcept	required	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Summary

Mandatory: 8 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Botswana Patient (http://moh.bw.org/StructureDefinition/bw-patient)
• ServiceRequest - Lab Orders (http://moh.bw.org/StructureDefinition/lab-order-service-request)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.identifier
• The element 1 is sliced based on the value of Specimen.collection.fastingStatus[x]
• The element 1 is sliced based on the value of Specimen.container.additive[x]

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:USID	Σ	1..1	Identifier	External Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://moh.bw.org/identifier/specimen-id
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen. ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(Botswana Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing ele-1: All FHIR elements must have a @value or children
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected ele-1: All FHIR elements must have a @value or children
collection		1..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collected[x]	Σ	1..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
Slices for fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this Binding: v2 Relevant Clincial Information (extensible): Codes describing the fasting status of the patient. ele-1: All FHIR elements must have a @value or children
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required) ele-1: All FHIR elements must have a @value or children
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier:USID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	example	Hl7VSSpecimenType http://terminology.hl7.org/ValueSet/v2-0487
Specimen.collection.fastingStatus[x]	extensible	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916 from http://tx.fhir.org/r4
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Specimen			Specimen
Slices for identifier		1..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:USID		1..1	Identifier	External Identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/specimen-id
value		1..1	string	The value that is unique
type	S	0..1	CodeableConcept	Kind of material that forms the specimen
subject		1..1	Reference(Botswana 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	S	0..1	dateTime	The time when specimen was received for processing
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected
collection		1..1	BackboneElement	Collection details
collected[x]		1..1	dateTime	Collection time
Slices for fastingStatus[x]		0..1	CodeableConcept, Duration	Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this
fastingStatus[x]:fastingStatusCodeableConcept		0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required)
container
Slices for additive[x]		0..1	CodeableConcept, Reference(Substance)	Additive associated with container Slice: Unordered, Open by type:$this
additive[x]:additiveCodeableConcept		0..1	CodeableConcept	Additive associated with container Binding: v2.0371 (2.9) (required)
condition		0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.container.additive[x]:additiveCodeableConcept	required	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:USID	Σ	1..1	Identifier	External Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.bw.org/identifier/specimen-id
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: hl7VS-specimenType (example): The type of the specimen.
subject	Σ	1..1	Reference(Botswana 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	SΣ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		1..*	Reference(ServiceRequest - Lab Orders)	Why the specimen was collected
collection		1..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	1..1	dateTime	Collection time
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 (example): Codes describing anatomical locations. May include laterality.
Slices for fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Slice: Unordered, Open by type:$this Binding: v2 Relevant Clincial Information (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: v2.0916 (2.9) (required)
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
time[x]		0..1		Date and time of specimen processing
timeDateTime			dateTime
timePeriod			Period
container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
Slices for additive[x]		0..1		Additive associated with container Slice: Unordered, Open by type:$this Binding: v2 Additive (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveCodeableConcept		0..1	CodeableConcept	Additive associated with container Binding: v2.0371 (2.9) (required)
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: v2.0493 (2.9) (required)
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.identifier:USID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier:USID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	example	Hl7VSSpecimenType http://terminology.hl7.org/ValueSet/v2-0487
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916 from http://tx.fhir.org/r4
Specimen.collection.fastingStatus[x]:fastingStatusCodeableConcept	required	v2.0916 http://terminology.hl7.org/ValueSet/v2-0916|2.9 from http://tx.fhir.org/r4
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	example	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type from the FHIR Standard
Specimen.container.additive[x]	example	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371 from http://tx.fhir.org/r4
Specimen.container.additive[x]:additiveCodeableConcept	required	v2.0371 http://terminology.hl7.org/ValueSet/v2-0371|2.9 from http://tx.fhir.org/r4
Specimen.condition	required	v2.0493 http://terminology.hl7.org/ValueSet/v2-0493|2.9 from http://tx.fhir.org/r4

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Summary

Mandatory: 8 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• Botswana Patient (http://moh.bw.org/StructureDefinition/bw-patient)
• ServiceRequest - Lab Orders (http://moh.bw.org/StructureDefinition/lab-order-service-request)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.identifier
• The element 1 is sliced based on the value of Specimen.collection.fastingStatus[x]
• The element 1 is sliced based on the value of Specimen.container.additive[x]