Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
accessionIdentifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
type
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Specimen Type (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
collection
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fastingStatus		0..1	CodeableConcept, Duration	A coded value of the fasting status when the specimen was collected. URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1 Binding: hl7VS-relevantClincialInformation (extensible): v2 Relevant Clincial Information
collector		0..1	Reference(CareConnect-Practitioner-1)	Who collected the specimen
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Specimen Body Site (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
container
identifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
note		0..1	Annotation	Comments
author[x]		0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Specimen.type.coding:snomedCT	extensible	Care Connect Specimen Type
Specimen.collection.bodySite.coding:snomedCT	extensible	Care Connect Specimen Body Site

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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
subject	Σ	1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
note		0..1	Annotation	Comments
author[x]	Σ	0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.status	required	SpecimenStatus

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()

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: 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	External Identifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
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	Kind of material that forms the specimen Binding: v2 Specimen Type (example): The type of the specimen.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Specimen Type (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	Σ	1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
collection		0..1	BackboneElement	Collection details
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fastingStatus		0..1	CodeableConcept, Duration	A coded value of the fasting status when the specimen was collected. URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1 Binding: hl7VS-relevantClincialInformation (extensible): v2 Relevant Clincial Information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
collector	Σ	0..1	Reference(CareConnect-Practitioner-1)	Who collected the specimen
collected[x]	Σ	0..1		Collection time
collectedDateTime			dateTime
collectedPeriod			Period
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIR Specimen Collection Method (example): The technique that is used to perform the procedure
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Specimen Body Site (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
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	Direct container of specimen (tube/slide, etc.)
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	Id for the container
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainer (example): Type of specimen container
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..1	Annotation	Comments
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Specimen.identifier.use	required	IdentifierUse
Specimen.identifier.type	extensible	Identifier Type Codes
Specimen.accessionIdentifier.use	required	IdentifierUse
Specimen.accessionIdentifier.type	extensible	Identifier Type Codes
Specimen.status	required	SpecimenStatus
Specimen.type	example	v2 Specimen Type
Specimen.type.coding:snomedCT	extensible	Care Connect Specimen Type
Specimen.collection.method	example	FHIR Specimen Collection Method
Specimen.collection.bodySite	example	SNOMED CT Body Structures
Specimen.collection.bodySite.coding:snomedCT	extensible	Care Connect Specimen Body Site
Specimen.processing.procedure	example	SpecimenProcessingProcedure
Specimen.container.identifier.use	required	IdentifierUse
Specimen.container.identifier.type	extensible	Identifier Type Codes
Specimen.container.type	example	SpecimenContainer
Specimen.container.additive[x]	example	v2 Additive/Preservative

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Specimen.collection.extension:fastingStatus	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element (8 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Specimen-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1)
• CareConnect-ProcedureRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1

Slices

This structure defines the following Slices:

• The element Specimen.type.coding is sliced based on the value of value:system
• The element Specimen.collection.bodySite.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
accessionIdentifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
type
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Specimen Type (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
collection
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fastingStatus		0..1	CodeableConcept, Duration	A coded value of the fasting status when the specimen was collected. URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1 Binding: hl7VS-relevantClincialInformation (extensible): v2 Relevant Clincial Information
collector		0..1	Reference(CareConnect-Practitioner-1)	Who collected the specimen
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Specimen Body Site (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..0
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
container
identifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
note		0..1	Annotation	Comments
author[x]		0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Specimen.type.coding:snomedCT	extensible	Care Connect Specimen Type
Specimen.collection.bodySite.coding:snomedCT	extensible	Care Connect Specimen Body Site

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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
subject	Σ	1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
note		0..1	Annotation	Comments
author[x]	Σ	0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.status	required	SpecimenStatus

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()

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: 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	External Identifier
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
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	Kind of material that forms the specimen Binding: v2 Specimen Type (example): The type of the specimen.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Specimen Type (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
subject	Σ	1..1	Reference(Group | Device | Substance | CareConnectPatient1)	Where the specimen came from. This may be from the patient(s) or from the environment or a device
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(CareConnect-Specimen-1)	Specimen from which this specimen originated
request		0..*	Reference(CareConnect-ProcedureRequest-1)	Why the specimen was collected
collection		0..1	BackboneElement	Collection details
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
fastingStatus		0..1	CodeableConcept, Duration	A coded value of the fasting status when the specimen was collected. URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1 Binding: hl7VS-relevantClincialInformation (extensible): v2 Relevant Clincial Information
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
collector	Σ	0..1	Reference(CareConnect-Practitioner-1)	Who collected the specimen
collected[x]	Σ	0..1		Collection time
collectedDateTime			dateTime
collectedPeriod			Period
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIR Specimen Collection Method (example): The technique that is used to perform the procedure
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Specimen Body Site (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
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	Direct container of specimen (tube/slide, etc.)
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	Id for the container
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainer (example): Type of specimen container
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..1	Annotation	Comments
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorString			string
authorReference			Reference(CareConnect-Practitioner-1 | CareConnectPatient1)
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
Specimen.identifier.use	required	IdentifierUse
Specimen.identifier.type	extensible	Identifier Type Codes
Specimen.accessionIdentifier.use	required	IdentifierUse
Specimen.accessionIdentifier.type	extensible	Identifier Type Codes
Specimen.status	required	SpecimenStatus
Specimen.type	example	v2 Specimen Type
Specimen.type.coding:snomedCT	extensible	Care Connect Specimen Type
Specimen.collection.method	example	FHIR Specimen Collection Method
Specimen.collection.bodySite	example	SNOMED CT Body Structures
Specimen.collection.bodySite.coding:snomedCT	extensible	Care Connect Specimen Body Site
Specimen.processing.procedure	example	SpecimenProcessingProcedure
Specimen.container.identifier.use	required	IdentifierUse
Specimen.container.identifier.type	extensible	Identifier Type Codes
Specimen.container.type	example	SpecimenContainer
Specimen.container.additive[x]	example	v2 Additive/Preservative

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	Specimen.collection.extension:fastingStatus	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 0 element (8 nested mandatory elements)
Fixed Value: 2 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Specimen-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1)
• CareConnect-ProcedureRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-FastingStatus-1

Slices

This structure defines the following Slices:

• The element Specimen.type.coding is sliced based on the value of value:system
• The element Specimen.collection.bodySite.coding is sliced based on the value of value:system