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
Slices for identifier	SΣ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
identifier:FillerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
identifier:ShipmentTrackingNumber	SOΣ	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC	Σ	0..1	GS1SSCC	External Identifier
accessionIdentifier	Σ	0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
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: Specimen Type (required)
subject	SΣ	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
collection		0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
quantity	S	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected
bodySite	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.identifier:PlacerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	Specimen	Sample for analysis
Slices for identifier	S	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SO	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
identifier:FillerSpecimenNumber	SO	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
identifier:ShipmentTrackingNumber	SO	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC		0..1	GS1SSCC	External Identifier
accessionIdentifier		0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
type	S	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type (required)
subject	S	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
collection
collector	S	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime	Collection time
quantity	S	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected
bodySite	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG

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
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	SΣ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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)
identifier:FillerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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)
identifier:ShipmentTrackingNumber	SOΣ	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC	Σ	0..1	GS1SSCC	External Identifier
accessionIdentifier	Σ	0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
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: Specimen Type (required)
subject	SΣ	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		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	SΣ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity	S	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	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	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	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG
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()

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Shipment Tracking Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/ShipmentTrackingNumber)
• GS1 Serial Shipping Container Code (SSCC) (https://fhir.nwgenomics.nhs.uk/StructureDefinition/GS1SSCC)
• Specimen Accession Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• PractitionerRole (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.identifier

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
Slices for identifier	SΣ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
identifier:FillerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
identifier:ShipmentTrackingNumber	SOΣ	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC	Σ	0..1	GS1SSCC	External Identifier
accessionIdentifier	Σ	0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
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: Specimen Type (required)
subject	SΣ	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
collection		0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
quantity	S	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected
bodySite	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.identifier:PlacerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	Specimen	Sample for analysis
Slices for identifier	S	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SO	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
identifier:FillerSpecimenNumber	SO	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
identifier:ShipmentTrackingNumber	SO	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC		0..1	GS1SSCC	External Identifier
accessionIdentifier		0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
type	S	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type (required)
subject	S	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
collection
collector	S	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime	Collection time
quantity	S	0..1	SimpleQuantity(4.0.1)	The quantity of specimen collected
bodySite	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG

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
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	SΣ	1..*	Identifier	External Identifier Slice: Unordered, Open by value:type
identifier:PlacerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the Order Placer. Obligations Actor SHALL:populate Order Placer SHALL:populate Requestor (ILW) SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Subcontractor (ILW) SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PLAC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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)
identifier:FillerSpecimenNumber	SOΣ	0..1	Identifier	Identifier assigned by the lab (Order Filler) Obligations Actor SHALL:populate Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
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	1..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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..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)
identifier:ShipmentTrackingNumber	SOΣ	0..1	ShipmentTrackingNumber	Identifier assigned by the Order Placer Obligations Actor SHOULD:populate Order Filler SHALL:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
identifier:GS1SSCC	Σ	0..1	GS1SSCC	External Identifier
accessionIdentifier	Σ	0..1	SpecimenAccessionNumber	Discourage - in future FHIR versions accessionIdentifier becomes an identifier, it is recommeded to follow that convention
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: Specimen Type (required)
subject	SΣ	1..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		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	SΣ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity	S	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	S	0..1	CodeableConcept	Anatomical collection site Binding: Specimen Body Site (preferred)
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	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	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:PlacerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Specimen.identifier:FillerSpecimenNumber.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	required	Specimen Type	📦0.2.1	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	preferred	Specimen Body Site	📦0.2.1	This IG
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()

Summary

Mandatory: 2 elements(2 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Shipment Tracking Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/ShipmentTrackingNumber)
• GS1 Serial Shipping Container Code (SSCC) (https://fhir.nwgenomics.nhs.uk/StructureDefinition/GS1SSCC)
• Specimen Accession Number (https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber)
• Patient (https://fhir.nwgenomics.nhs.uk/StructureDefinition/Patient)
• PractitionerRole (https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerRole)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.identifier