HL7 FHIR Implementation Guide: Rwanda HIV, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/openhie/Rwanda-HIV/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: Viral Load Specimen

Represents the VL test sample that was collected for the service request.

Usage:

• Examples for this Resource Profile: Specimen/VLSpecimenExample

Formal Views of Profile Content

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

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

This structure is derived from Specimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
Slices for identifier		4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: App sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value		1..1	string	The value that is unique
identifier:remoteSampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: Remote sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value		1..1	string	The value that is unique
identifier:sampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: Sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value		1..1	string	The value that is unique
identifier:uniqueId		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display		0..1	string	Representation defined by the system Required Pattern: Placer Identifier
text		0..1	string	Plain text representation of the concept Required Pattern: Universal Unique Identifier for the sample
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value		1..1	string	The value that is unique
type		1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
text		0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject		1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	S	0..1	dateTime	The time when specimen is received by the testing laboratory
collection
Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this
collected[x]:collectedDateTime	S	0..1	dateTime	Collection time
processing	S	0..1	BackboneElement	Processing and processing step details
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Open by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:remoteSampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:sampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:uniqueId	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value	ΣC	1..1	string	The value that is unique 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.
type	Σ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject	Σ	1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	SΣ	0..1	dateTime	The time when specimen is received by the testing laboratory
collection		0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣ	0..1	dateTime	Collection time
processing	S	0..1	BackboneElement	Processing and processing step details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Closed by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier:appSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:remoteSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:sampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:uniqueId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|5.0.0 from the FHIR Standard
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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		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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: App sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value	ΣC	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)
identifier:remoteSampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Remote sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value	ΣC	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)
identifier:sampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value	ΣC	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)
identifier:uniqueId	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Placer Identifier
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Universal Unique Identifier for the sample
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value	ΣC	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	Σ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject	Σ	1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	SΣ	0..1	dateTime	The time when specimen is received by the testing laboratory
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
combined	Σ	0..1	code	grouped | pooled Binding: SpecimenCombined (required): Codes for the combined status of a specimen.
role		0..*	CodeableConcept	The role the specimen serves Binding: SpecimenRole (preferred): Codes describing specimen role.
feature		0..*	BackboneElement	The physical feature of a 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
type		1..1	CodeableConcept	Highlighted feature Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
description		1..1	string	Information about the feature
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	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who collected the specimen
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
device		0..1	CodeableReference(Device)	Device used to perform collection Binding Description (No ValueSet): (example): The device that was used to obtain the specimen (e.g. a catheter or catheter part used to draw the blood via a central line).
procedure		0..1	Reference(Procedure)	The procedure that collects the specimen
bodySite		0..1	CodeableReference(BodyStructure)	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing	S	0..1	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
method		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingMethod (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Closed by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
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
device		1..1	Reference(Device)	Device resource for the container
location		0..1	Reference(Location)	Where the container is
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Specimen.identifier:appSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:appSampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:remoteSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:remoteSampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:sampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:sampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:uniqueId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:uniqueId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|5.0.0 from the FHIR Standard
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG
Specimen.combined	required	SpecimenCombined http://hl7.org/fhir/ValueSet/specimen-combined|5.0.0 from the FHIR Standard
Specimen.role	preferred	SpecimenRole http://hl7.org/fhir/ValueSet/specimen-role from the FHIR Standard
Specimen.feature.type	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.device	example
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.method	example	SpecimenProcessingMethod http://hl7.org/fhir/ValueSet/specimen-processing-method from the FHIR Standard
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 14 elements(2 nested mandatory elements)
Must-Support: 5 elements

Extensions

This structure refers to these extensions:

• http://moh.gov.rw/fhir/StructureDefinition/sample-reordered

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.collected[x]
• The element 1 is sliced based on the value of Specimen.processing.time[x]

Differential View

This structure is derived from Specimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
Slices for identifier		4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: App sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value		1..1	string	The value that is unique
identifier:remoteSampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: Remote sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value		1..1	string	The value that is unique
identifier:sampleCode		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display		0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
text		0..1	string	Plain text representation of the concept Required Pattern: Sample identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value		1..1	string	The value that is unique
identifier:uniqueId		1..1	Identifier	External Identifier
type
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
code		0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display		0..1	string	Representation defined by the system Required Pattern: Placer Identifier
text		0..1	string	Plain text representation of the concept Required Pattern: Universal Unique Identifier for the sample
system		1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value		1..1	string	The value that is unique
type		1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
text		0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject		1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	S	0..1	dateTime	The time when specimen is received by the testing laboratory
collection
Slices for collected[x]		0..1	dateTime, Period	Collection time Slice: Unordered, Open by type:$this
collected[x]:collectedDateTime	S	0..1	dateTime	Collection time
processing	S	0..1	BackboneElement	Processing and processing step details
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Open by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:remoteSampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:sampleCode	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:uniqueId	Σ	1..1	Identifier	External Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value	ΣC	1..1	string	The value that is unique 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.
type	Σ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject	Σ	1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	SΣ	0..1	dateTime	The time when specimen is received by the testing laboratory
collection		0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣ	0..1	dateTime	Collection time
processing	S	0..1	BackboneElement	Processing and processing step details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Closed by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier:appSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:remoteSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:sampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:uniqueId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|5.0.0 from the FHIR Standard
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Snapshot View

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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
SampleReordered	S	0..1	boolean	Sample reordered URL: http://moh.gov.rw/fhir/StructureDefinition/sample-reordered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	4..*	Identifier	External Identifier Slice: Unordered, Open by value:system
identifier:appSampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: App sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/app-sample-code
value	ΣC	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)
identifier:remoteSampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Remote sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/remote-sample-code
value	ΣC	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)
identifier:sampleCode	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: USID
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Unique Specimen ID
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Sample identifier
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/sample-code
value	ΣC	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)
identifier:uniqueId	Σ	1..1	Identifier	External Identifier
id		0..1	id	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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: PLAC
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Placer Identifier
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Universal Unique Identifier for the sample
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: http://moh.gov.rw/fhir/identifier/uniqueID
value	ΣC	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	Σ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type Used In Viral Load testing (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Specimen Type
subject	Σ	1..1	Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location)	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, a biologically-derived product, or a device
receivedTime	SΣ	0..1	dateTime	The time when specimen is received by the testing laboratory
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
combined	Σ	0..1	code	grouped | pooled Binding: SpecimenCombined (required): Codes for the combined status of a specimen.
role		0..*	CodeableConcept	The role the specimen serves Binding: SpecimenRole (preferred): Codes describing specimen role.
feature		0..*	BackboneElement	The physical feature of a 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
type		1..1	CodeableConcept	Highlighted feature Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
description		1..1	string	Information about the feature
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	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who collected the specimen
Slices for collected[x]	Σ	0..1		Collection time Slice: Unordered, Open by type:$this
collectedDateTime			dateTime
collectedPeriod			Period
collected[x]:collectedDateTime	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
device		0..1	CodeableReference(Device)	Device used to perform collection Binding Description (No ValueSet): (example): The device that was used to obtain the specimen (e.g. a catheter or catheter part used to draw the blood via a central line).
procedure		0..1	Reference(Procedure)	The procedure that collects the specimen
bodySite		0..1	CodeableReference(BodyStructure)	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing	S	0..1	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
method		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingMethod (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
Slices for time[x]		1..1	dateTime	Date and time of specimen processing Slice: Unordered, Closed by type:$this
time[x]:timeDateTime		1..1	dateTime	Date and time of specimen processing
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
device		1..1	Reference(Device)	Device resource for the container
location		0..1	Reference(Location)	Where the container is
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note	S	0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Specimen.identifier:appSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:appSampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:remoteSampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:remoteSampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:sampleCode.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:sampleCode.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier:uniqueId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
Specimen.identifier:uniqueId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|5.0.0 from the FHIR Standard
Specimen.type	required	VSSpecimenType http://moh.gov.rw/fhir/ValueSet/vs-specimen-type from this IG
Specimen.combined	required	SpecimenCombined http://hl7.org/fhir/ValueSet/specimen-combined|5.0.0 from the FHIR Standard
Specimen.role	preferred	SpecimenRole http://hl7.org/fhir/ValueSet/specimen-role from the FHIR Standard
Specimen.feature.type	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.device	example
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.method	example	SpecimenProcessingMethod http://hl7.org/fhir/ValueSet/specimen-processing-method from the FHIR Standard
Specimen.condition	extensible	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 14 elements(2 nested mandatory elements)
Must-Support: 5 elements

Extensions

This structure refers to these extensions:

• http://moh.gov.rw/fhir/StructureDefinition/sample-reordered

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.collected[x]
• The element 1 is sliced based on the value of Specimen.processing.time[x]