Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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		0..*	Extension	Extension 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
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
accessionIdentifier	Σ	1..1	Identifier	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type VS (required) ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource ele-1: All FHIR elements must have a @value or children
collection		1..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension 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
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueAnnotation			Annotation
valueCodeableConcept			CodeableConcept
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required) ele-1: All FHIR elements must have a @value or children
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref 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	Σ	0..1	Reference(PractitionerRole)	Who collected the specimen ele-1: All FHIR elements must have a @value or children
collected[x]	Σ	1..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.) ele-1: All FHIR elements must have a @value or children
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
additive[x]		0..1	CodeableConcept	Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required)
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
identifier		0..*	Identifier	External Identifier
system	S	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required)
value	S	0..1	string	The value that is unique
accessionIdentifier		1..1	Identifier	Identifier assigned by the lab
type		0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type VS (required)
subject	S	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required)
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
collection		1..1	BackboneElement	Collection details
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
Slices for value[x]		0..1	Annotation, CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required)
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref
collector		0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]		1..1	dateTime	Collection time
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.)
additive[x]		0..1	CodeableConcept	Additive associated with container
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG

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: 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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required)
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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	SΣ	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required) Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
accessionIdentifier	Σ	1..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	Kind of material that forms the specimen Binding: Specimen Type VS (required)
subject	SΣ	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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	SΣ	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required) Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Text alternative for the resource
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		1..1	BackboneElement	Collection details
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueAnnotation			Annotation
valueCodeableConcept			CodeableConcept
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required)
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	Σ	1..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.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
time[x]		0..1		Date and time of specimen processing
timeDateTime			dateTime
timePeriod			Period
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
additive[x]		0..1	CodeableConcept	Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Specimen.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
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.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	example	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	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.collection.extension.value[x]

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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		0..*	Extension	Extension 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
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	External Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
accessionIdentifier	Σ	1..1	Identifier	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type	Σ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type VS (required) ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device ele-1: All FHIR elements must have a @value or children
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource ele-1: All FHIR elements must have a @value or children
collection		1..1	BackboneElement	Collection details ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension 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
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueAnnotation			Annotation
valueCodeableConcept			CodeableConcept
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required) ele-1: All FHIR elements must have a @value or children
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref 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	Σ	0..1	Reference(PractitionerRole)	Who collected the specimen ele-1: All FHIR elements must have a @value or children
collected[x]	Σ	1..1	dateTime	Collection time ele-1: All FHIR elements must have a @value or children
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.) ele-1: All FHIR elements must have a @value or children
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
additive[x]		0..1	CodeableConcept	Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative http://terminology.hl7.org/ValueSet/v2-0371

Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required)
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
identifier		0..*	Identifier	External Identifier
system	S	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required)
value	S	0..1	string	The value that is unique
accessionIdentifier		1..1	Identifier	Identifier assigned by the lab
type		0..1	CodeableConcept	Kind of material that forms the specimen Binding: Specimen Type VS (required)
subject	S	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required)
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
collection		1..1	BackboneElement	Collection details
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
Slices for value[x]		0..1	Annotation, CodeableConcept	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required)
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref
collector		0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]		1..1	dateTime	Collection time
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.)
additive[x]		0..1	CodeableConcept	Additive associated with container
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG

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: 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		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:accredited		0..1	boolean	Accredited URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
extension:pretreatment		0..1	CodeableConcept	Pretreatment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment Binding: Pretreatment-VS (required)
extension:containercount		0..1	integer	Container Count URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
extension:samplehandling		0..*	string	Sample Handling URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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	SΣ	0..1	uri	The namespace for the identifier value Binding: Identifier Source VS (required) Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
accessionIdentifier	Σ	1..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	Kind of material that forms the specimen Binding: Specimen Type VS (required)
subject	SΣ	0..1	Reference(Patient)	Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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	SΣ	0..1	uri	The namespace for the identifier value Binding: PublicIdType_VS (required) Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Text alternative for the resource
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		1..1	BackboneElement	Collection details
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:logistics		0..1	string	Logistics URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
extension:comment		0..*	(Complex)	Comment URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment"
Slices for value[x]		0..1		Value of extension Slice: Unordered, Open by type:$this
valueAnnotation			Annotation
valueCodeableConcept			CodeableConcept
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension Binding: Collector Comment VS (required)
extension:studyproducttype		0..1	string	Study Product Type URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
extension:studyproductref		0..1	string	Study Product Ref URL: http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(PractitionerRole)	Who collected the specimen
collected[x]	Σ	1..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.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
fastingStatus[x]	Σ	0..1		Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
processing		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step
time[x]		0..1		Date and time of specimen processing
timeDateTime			dateTime
timePeriod			Period
container		0..1	BackboneElement	Direct container of specimen (tube/slide, etc.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
capacity		0..1	SimpleQuantity	Container volume or size
specimenQuantity		0..1	SimpleQuantity	Quantity of specimen within container
additive[x]		0..1	CodeableConcept	Additive associated with container Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Specimen.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Specimen.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.identifier.system	required	IdentifierSource_VS (a valid code from Identifier Source CS) http://nhn.no/fhir/nilar/ValueSet/identifier-source-vs from this IG
Specimen.status	required	SpecimenStatus http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 from the FHIR Standard
Specimen.type	required	SpecimenType_VS http://nhn.no/fhir/nilar/ValueSet/specimen-type-vs from this IG
Specimen.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Specimen.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Specimen.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Specimen.subject.identifier.system	required	PublicIdType_VS (a valid code from Public Id Type CS) http://nhn.no/fhir/nilar/ValueSet/public-it-type-vs from this IG
Specimen.collection.extension:comment.value[x]:valueCodeableConcept	required	CollectorComment_VS (a valid code from http://ehelse.no/fhir/CodeSystem/no-kodeverk-8275) http://nhn.no/fhir/nilar/ValueSet/collector-comment-vs from this IG
Specimen.collection.method	example	FHIRSpecimenCollectionMethod http://hl7.org/fhir/ValueSet/specimen-collection-method from the FHIR Standard
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.procedure	example	SpecimenProcessingProcedure http://hl7.org/fhir/ValueSet/specimen-processing-procedure from the FHIR Standard
Specimen.container.type	example	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	Hl7VSSpecimenCondition http://terminology.hl7.org/ValueSet/v2-0493

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://nhn.no/fhir/nilar/StructureDefinition/nilar-accredited
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-pretreatment
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-container-count
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-sample-handling
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-logistics
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-comment
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-type
• http://nhn.no/fhir/nilar/StructureDefinition/nilar-study-product-ref

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Specimen.collection.extension.value[x]