Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM LaboratoryTestResult Specimen Isolate

The Specimen Microorganism details from the LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.

Usage:

• Refer to this Resource Profile: HCIM LaboratoryTestResult Observation and HCIM LaboratoryTestResult Specimen

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	Specimen
identifier		0..*	Identifier	SpecimenId
type		0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject		1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime		0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
collection
collected[x]		0..1	dateTime, Period	CollectionDateTime
quantity		0..1	SimpleQuantity	CollectedVolume
method		0..1	CodeableConcept	CollectionMethod Binding: AfnameprocedureCodelijst (extensible)
bodySite		0..1	CodeableConcept	AnatomicalLocation Binding: MonsterAnatomischeLocatieCodelijst (extensible): SpecimenAnatomicalLocationCodelist
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
laterality		0..*	(Complex)	Laterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: LateraliteitCodelijst (extensible): LateralityCodelist
morphology		0..*	(Complex)	Morphology URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite morphology Binding: MorfologieCodelijst (extensible): MorphologyCodelist
container		0..*	BackboneElement	SpecimenContainer
identifier		0..*	Identifier	SpecimenNumberExtension
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.collection.method	extensible	AfnameprocedureCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000 from this IG
Specimen.collection.bodySite	extensible	MonsterAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000 from this IG
Specimen.collection.bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept	extensible	LateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000 from this IG
Specimen.collection.bodySite.extension:morphology.valueCodeableConcept:valueCodeableConcept	extensible	MorfologieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000 from this IG
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Specimen
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenId
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	Σ	0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject	Σ	1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime	Σ	0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
container		0..*	BackboneElement	SpecimenContainer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenNumberExtension
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status from the FHIR Standard
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Specimen
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenId
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	0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject	Σ	1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime	Σ	0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ProcedureRequest)	Why the specimen was collected
collection		0..1	BackboneElement	Collection details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
collector	Σ	0..1	Reference(Practitioner)	Who collected the specimen
collected[x]	Σ	0..1		CollectionDateTime
collectedDateTime			dateTime
collectedPeriod			Period
quantity		0..1	SimpleQuantity	CollectedVolume
method		0..1	CodeableConcept	CollectionMethod Binding: AfnameprocedureCodelijst (extensible)
bodySite		0..1	CodeableConcept	AnatomicalLocation Binding: MonsterAnatomischeLocatieCodelijst (extensible): SpecimenAnatomicalLocationCodelist
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
laterality		0..*	(Complex)	Laterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: LateraliteitCodelijst (extensible): LateralityCodelist
morphology		0..*	(Complex)	Morphology URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite morphology Binding: MorfologieCodelijst (extensible): MorphologyCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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	SpecimenContainer
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenNumberExtension
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
additive[x]		0..1		Additive associated with container Binding: v2 Additive/Preservative (example): Substance added to specimen container
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status from the FHIR Standard
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.collection.method	extensible	AfnameprocedureCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000 from this IG
Specimen.collection.bodySite	extensible	MonsterAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000 from this IG
Specimen.collection.bodySite.extension:laterality.value[x]:valueCodeableConcept	extensible	LateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000 from this IG
Specimen.collection.bodySite.extension:morphology.value[x]:valueCodeableConcept	extensible	MorfologieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000 from this IG
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG
Specimen.container.additive[x]	example	v2 Additive/Preservative http://hl7.org/fhir/ValueSet/v2-0371 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Specimen

Summary

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology

Differential View

This structure is derived from Specimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Specimen
identifier		0..*	Identifier	SpecimenId
type		0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject		1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime		0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
collection
collected[x]		0..1	dateTime, Period	CollectionDateTime
quantity		0..1	SimpleQuantity	CollectedVolume
method		0..1	CodeableConcept	CollectionMethod Binding: AfnameprocedureCodelijst (extensible)
bodySite		0..1	CodeableConcept	AnatomicalLocation Binding: MonsterAnatomischeLocatieCodelijst (extensible): SpecimenAnatomicalLocationCodelist
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
laterality		0..*	(Complex)	Laterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: LateraliteitCodelijst (extensible): LateralityCodelist
morphology		0..*	(Complex)	Morphology URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology
valueCodeableConcept:valueCodeableConcept		0..1	CodeableConcept	BodySite morphology Binding: MorfologieCodelijst (extensible): MorphologyCodelist
container		0..*	BackboneElement	SpecimenContainer
identifier		0..*	Identifier	SpecimenNumberExtension
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.collection.method	extensible	AfnameprocedureCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000 from this IG
Specimen.collection.bodySite	extensible	MonsterAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000 from this IG
Specimen.collection.bodySite.extension:laterality.valueCodeableConcept:valueCodeableConcept	extensible	LateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000 from this IG
Specimen.collection.bodySite.extension:morphology.valueCodeableConcept:valueCodeableConcept	extensible	MorfologieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000 from this IG
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Specimen
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenId
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	Σ	0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject	Σ	1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime	Σ	0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
container		0..*	BackboneElement	SpecimenContainer
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenNumberExtension
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status from the FHIR Standard
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Specimen
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: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenId
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	0..1	CodeableConcept	Microorganism Binding: MicroorganismeCodelijst (extensible)
subject	Σ	1..1	Reference(nl-core-patient | Group | HCIM MedicalDevice Product | Substance)	SpecimenSource
receivedTime	Σ	0..1	dateTime	ReceivedDateTime
parent		0..*	Reference(HCIM LaboratoryTestResult Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ProcedureRequest)	Why the specimen was collected
collection		0..1	BackboneElement	Collection details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
collector	Σ	0..1	Reference(Practitioner)	Who collected the specimen
collected[x]	Σ	0..1		CollectionDateTime
collectedDateTime			dateTime
collectedPeriod			Period
quantity		0..1	SimpleQuantity	CollectedVolume
method		0..1	CodeableConcept	CollectionMethod Binding: AfnameprocedureCodelijst (extensible)
bodySite		0..1	CodeableConcept	AnatomicalLocation Binding: MonsterAnatomischeLocatieCodelijst (extensible): SpecimenAnatomicalLocationCodelist
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
laterality		0..*	(Complex)	Laterality URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite qualifier Binding: LateraliteitCodelijst (extensible): LateralityCodelist
morphology		0..*	(Complex)	Morphology URL: http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	BodySite morphology Binding: MorfologieCodelijst (extensible): MorphologyCodelist
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
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	SpecimenContainer
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	SpecimenNumberExtension
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	ContainerType Binding: ContainerTypeCodelijst (extensible): ContainerTypeCodelist
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
additive[x]		0..1		Additive associated with container Binding: v2 Additive/Preservative (example): Substance added to specimen container
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
note		0..*	Annotation	Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status from the FHIR Standard
Specimen.type	extensible	MicroorganismeCodelijst (a valid code from SNOMED CT) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10--20171231000000 from this IG
Specimen.collection.method	extensible	AfnameprocedureCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000 from this IG
Specimen.collection.bodySite	extensible	MonsterAnatomischeLocatieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000 from this IG
Specimen.collection.bodySite.extension:laterality.value[x]:valueCodeableConcept	extensible	LateraliteitCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000 from this IG
Specimen.collection.bodySite.extension:morphology.value[x]:valueCodeableConcept	extensible	MorfologieCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000 from this IG
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	extensible	ContainerTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000 from this IG
Specimen.container.additive[x]	example	v2 Additive/Preservative http://hl7.org/fhir/ValueSet/v2-0371 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	Specimen	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

This structure is derived from Specimen

Summary

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• HCIM MedicalDevice Product (http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct)
• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier
• http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology

Other representations of profile: CSV, Excel, Schematron