DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON

Resource Profile: Specimen

DRAFT Extension of UKCore-Specimen which includes constraints from:

• NHS England Genomics Specimen use text descriptions only, not the rendered profile.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

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 UKCoreSpecimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis
identifier	S	1..*	CorrelationIdentifier	External Identifier
accessionIdentifier	S	0..1	AccessionNumber	Identifier assigned by the lab
subject		1..1	Reference(Patient)	Where the specimen came from.
collection
collector	S	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime	Collection time
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
sampleCategory	N	0..1	CodeableConcept	An extension to record the category of a sample. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SampleCategory Binding: UK Core Sample Category (extensible): A set of codes to record the category of the sample ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	CorrelationIdentifier	External Identifier ele-1: All FHIR elements must have a @value or children
accessionIdentifier	SΣ	0..1	AccessionNumber	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
status	?!SΣ	0..1	code	The availability of the specimen sample. Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	The kind of material that forms the specimen. Binding: UK Core Specimen Type (preferred): A code from the SNOMED CT UK Clinical Terminology coding system ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Where the specimen came from. ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing. ele-1: All FHIR elements must have a @value or children
collection	C	0..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children ukcore-spec-001: Only one of Specimen.collection.collector or Specimen.collection.extension:collectorR5 can be populated at a time.
Slices for extension				Content/Rules for all slices
specialHandling	N	0..*	CodeableConcept	This SHOULD be included if there is a high contamination risk reason for a sample / biopsy. URL: http://hl7.org/fhir/StructureDefinition/specimen-specialHandling ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collectorR5	N	0..1	Reference(Patient | RelatedPerson)	Person who collected the specimen. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collector	SΣC	0..1	Reference(PractitionerRole)	Who collected the specimen ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
collected[x]	SΣ	0..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	UKCoreSpecimenType https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenType

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
sampleCategory	N	0..1	CodeableConcept	An extension to record the category of a sample. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SampleCategory Binding: UK Core Sample Category (extensible): A set of codes to record the category of the sample
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	CorrelationIdentifier	External Identifier
accessionIdentifier	SΣ	0..1	AccessionNumber	Identifier assigned by the lab
status	?!SΣ	0..1	code	The availability of the specimen sample. Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	0..1	CodeableConcept	The kind of material that forms the specimen. Binding: UK Core Specimen Type (preferred): A code from the SNOMED CT UK Clinical Terminology coding system
subject	SΣC	1..1	Reference(Patient)	Where the specimen came from. ref-1: SHALL have a contained resource if a local reference is provided
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing.
parent	C	0..*	Reference(Specimen)	Specimen from which this specimen originated ref-1: SHALL have a contained resource if a local reference is provided
request	C	0..*	Reference(ServiceRequest)	Why the specimen was collected ref-1: SHALL have a contained resource if a local reference is provided
collection	C	0..1	BackboneElement	Collection details ukcore-spec-001: Only one of Specimen.collection.collector or Specimen.collection.extension:collectorR5 can be populated at a time.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
specialHandling	N	0..*	CodeableConcept	This SHOULD be included if there is a high contamination risk reason for a sample / biopsy. URL: http://hl7.org/fhir/StructureDefinition/specimen-specialHandling
collectorR5	N	0..1	Reference(Patient | RelatedPerson)	Person who collected the specimen. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣC	0..1	Reference(PractitionerRole)	Who collected the specimen ref-1: SHALL have a contained resource if a local reference is provided
collected[x]	SΣ	0..1	dateTime	Collection time
duration	ΣC	0..1	Duration	How long it took to collect specimen qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
quantity	C	0..1	SimpleQuantity	The quantity of specimen collected qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: UK Core Specimen Body Site (preferred): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bodySiteReference	N	0..1	(Complex)	An extension to allow referencing to a BodyStructure. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference"
value[x]	N	1..1	Reference(BodyStructure)	A reference to a BodyStructure
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	0..*	Reference(Substance)	Material used in the processing step ref-1: SHALL have a contained resource if a local reference is provided
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
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceR5	N	0..1	Reference(UK Core Device)	Device resource for the container. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
locationR5	N	0..1	Reference(UK Core Location)	Where the container is. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.location
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 (preferred): Type of specimen container.
capacity	C	0..1	SimpleQuantity	Container volume or size qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
specimenQuantity	C	0..1	SimpleQuantity	Quantity of specimen within container qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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: UK Core Sample State (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	UKCoreSpecimenType https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenType
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	preferred	UKCoreSpecimenBodySite https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenBodySite
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	preferred	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type from the FHIR Standard
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.condition	extensible	UKCoreSampleState https://fhir.hl7.org.uk/ValueSet/UKCore-SampleState

This structure is derived from UKCoreSpecimen

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://hl7.mft.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Accession Number (https://hl7.mft.nhs.uk/StructureDefinition/AccessionNumber)
• Patient (https://hl7.mft.nhs.uk/StructureDefinition/Patient)
• PractitionerRole (https://hl7.mft.nhs.uk/StructureDefinition/PractitionerRole)

Differential View

This structure is derived from UKCoreSpecimen

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis
identifier	S	1..*	CorrelationIdentifier	External Identifier
accessionIdentifier	S	0..1	AccessionNumber	Identifier assigned by the lab
subject		1..1	Reference(Patient)	Where the specimen came from.
collection
collector	S	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	S	0..1	dateTime	Collection time
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
sampleCategory	N	0..1	CodeableConcept	An extension to record the category of a sample. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SampleCategory Binding: UK Core Sample Category (extensible): A set of codes to record the category of the sample ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	CorrelationIdentifier	External Identifier ele-1: All FHIR elements must have a @value or children
accessionIdentifier	SΣ	0..1	AccessionNumber	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
status	?!SΣ	0..1	code	The availability of the specimen sample. Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	The kind of material that forms the specimen. Binding: UK Core Specimen Type (preferred): A code from the SNOMED CT UK Clinical Terminology coding system ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient)	Where the specimen came from. ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing. ele-1: All FHIR elements must have a @value or children
collection	C	0..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children ukcore-spec-001: Only one of Specimen.collection.collector or Specimen.collection.extension:collectorR5 can be populated at a time.
Slices for extension				Content/Rules for all slices
specialHandling	N	0..*	CodeableConcept	This SHOULD be included if there is a high contamination risk reason for a sample / biopsy. URL: http://hl7.org/fhir/StructureDefinition/specimen-specialHandling ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collectorR5	N	0..1	Reference(Patient | RelatedPerson)	Person who collected the specimen. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collector	SΣC	0..1	Reference(PractitionerRole)	Who collected the specimen ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
collected[x]	SΣ	0..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	UKCoreSpecimenType https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenType

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	UKCoreSpecimen	Sample for analysis
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
sampleCategory	N	0..1	CodeableConcept	An extension to record the category of a sample. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SampleCategory Binding: UK Core Sample Category (extensible): A set of codes to record the category of the sample
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	SΣ	1..*	CorrelationIdentifier	External Identifier
accessionIdentifier	SΣ	0..1	AccessionNumber	Identifier assigned by the lab
status	?!SΣ	0..1	code	The availability of the specimen sample. Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	0..1	CodeableConcept	The kind of material that forms the specimen. Binding: UK Core Specimen Type (preferred): A code from the SNOMED CT UK Clinical Terminology coding system
subject	SΣC	1..1	Reference(Patient)	Where the specimen came from. ref-1: SHALL have a contained resource if a local reference is provided
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing.
parent	C	0..*	Reference(Specimen)	Specimen from which this specimen originated ref-1: SHALL have a contained resource if a local reference is provided
request	C	0..*	Reference(ServiceRequest)	Why the specimen was collected ref-1: SHALL have a contained resource if a local reference is provided
collection	C	0..1	BackboneElement	Collection details ukcore-spec-001: Only one of Specimen.collection.collector or Specimen.collection.extension:collectorR5 can be populated at a time.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
specialHandling	N	0..*	CodeableConcept	This SHOULD be included if there is a high contamination risk reason for a sample / biopsy. URL: http://hl7.org/fhir/StructureDefinition/specimen-specialHandling
collectorR5	N	0..1	Reference(Patient | RelatedPerson)	Person who collected the specimen. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	SΣC	0..1	Reference(PractitionerRole)	Who collected the specimen ref-1: SHALL have a contained resource if a local reference is provided
collected[x]	SΣ	0..1	dateTime	Collection time
duration	ΣC	0..1	Duration	How long it took to collect specimen qty-3: If a code for the unit is present, the system SHALL also be present drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
quantity	C	0..1	SimpleQuantity	The quantity of specimen collected qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: UK Core Specimen Body Site (preferred): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bodySiteReference	N	0..1	(Complex)	An extension to allow referencing to a BodyStructure. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference"
value[x]	N	1..1	Reference(BodyStructure)	A reference to a BodyStructure
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
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	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	C	0..*	Reference(Substance)	Material used in the processing step ref-1: SHALL have a contained resource if a local reference is provided
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
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
deviceR5	N	0..1	Reference(UK Core Device)	Device resource for the container. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.device
locationR5	N	0..1	Reference(UK Core Location)	Where the container is. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.container.location
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 (preferred): Type of specimen container.
capacity	C	0..1	SimpleQuantity	Container volume or size qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
specimenQuantity	C	0..1	SimpleQuantity	Quantity of specimen within container qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
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: UK Core Sample State (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	preferred	UKCoreSpecimenType https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenType
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
Specimen.collection.bodySite	preferred	UKCoreSpecimenBodySite https://fhir.hl7.org.uk/ValueSet/UKCore-SpecimenBodySite
Specimen.collection.fastingStatus[x]	extensible	Hl7VSRelevantClincialInformation http://terminology.hl7.org/ValueSet/v2-0916
Specimen.processing.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	preferred	SpecimenContainerType http://hl7.org/fhir/ValueSet/specimen-container-type from the FHIR Standard
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371
Specimen.condition	extensible	UKCoreSampleState https://fhir.hl7.org.uk/ValueSet/UKCore-SampleState

This structure is derived from UKCoreSpecimen

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://hl7.mft.nhs.uk/StructureDefinition/CorrelationIdentifier)
• Accession Number (https://hl7.mft.nhs.uk/StructureDefinition/AccessionNumber)
• Patient (https://hl7.mft.nhs.uk/StructureDefinition/Patient)
• PractitionerRole (https://hl7.mft.nhs.uk/StructureDefinition/PractitionerRole)

Other representations of profile: CSV, Excel, Schematron