Name	Flags	Card.	Type	Description & Constraints
Specimen		0..*	Specimen	Sample for analysis
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
storageTemperature	S	0..*	CodeableConcept	Extension URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
value[x]
coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
type	S	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
collection	S	0..1	BackboneElement	Collection details
collected[x]	S	0..1	dateTime	Collection time
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd-o-3-topography	S	1..1	Coding	ICD-O-3 Topography
system		0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
fastingStatus[x]	S	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
storageTemperature	S	0..*	CodeableConcept	Optional Extensions Element URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
extension		0..0
url		1..1	uri	"https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis"
value[x]	C	1..1	CodeableConcept	Value of extension
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
coding:icd-10-who	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd-10-gm	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dimdi/icd-10-gm
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd-9	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-9
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:no-icd	Σ	0..*	Coding	Code defined by a terminology system Binding: other sample diagnosis (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
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.
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
collection	S	0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collected[x]	SΣ	0..1	dateTime	Collection time
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd-o-3-topography	SΣ	1..1	Coding	ICD-O-3 Topography
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
fastingStatus[x]	SΣ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.extension:diagnosis.value[x].coding:no-icd	required	OtherSampleDiagnosis (a valid code from Other Sample Diagnosis)
Specimen.status	required	SpecimenStatus
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation

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
storageTemperature	S	0..*	CodeableConcept	Optional Extensions Element URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis"
value[x]	C	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
coding:icd-10-who	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd-10-gm	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dimdi/icd-10-gm
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd-9	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-9
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:no-icd	Σ	0..*	Coding	Code defined by a terminology system Binding: other sample diagnosis (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
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	S	0..1	BackboneElement	Collection details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
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:icd-o-3-topography	SΣ	1..1	Coding	ICD-O-3 Topography
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
fastingStatus[x]	SΣ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
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..*	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		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: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Specimen.extension:diagnosis.value[x].coding:no-icd	required	OtherSampleDiagnosis (a valid code from Other Sample Diagnosis)
Specimen.status	required	SpecimenStatus
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.method	example	FHIRSpecimenCollectionMethod
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation
Specimen.processing.procedure	example	SpecimenProcessingProcedure
Specimen.container.type	example	SpecimenContainerType
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative
Specimen.condition	extensible	Hl7VSSpecimenCondition

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 9 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Patient (https://fhir.bbmri.de/StructureDefinition/Patient)

Extensions

This structure refers to these extensions:

• https://fhir.bbmri.de/StructureDefinition/StorageTemperature
• https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
• https://fhir.bbmri.de/StructureDefinition/Custodian

Slices

This structure defines the following Slices:

• The element Specimen.extension.value[x].coding is sliced based on the values of value:system, value:version, value:$this (Closed)
• 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
storageTemperature	S	0..*	CodeableConcept	Extension URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
value[x]
coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
type	S	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
collection	S	0..1	BackboneElement	Collection details
collected[x]	S	0..1	dateTime	Collection time
bodySite
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd-o-3-topography	S	1..1	Coding	ICD-O-3 Topography
system		0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
fastingStatus[x]	S	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation

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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
storageTemperature	S	0..*	CodeableConcept	Optional Extensions Element URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
extension		0..0
url		1..1	uri	"https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis"
value[x]	C	1..1	CodeableConcept	Value of extension
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
coding:icd-10-who	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd-10-gm	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dimdi/icd-10-gm
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:icd-9	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-9
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:no-icd	Σ	0..*	Coding	Code defined by a terminology system Binding: other sample diagnosis (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
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.
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
collection	S	0..1	BackboneElement	Collection details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collected[x]	SΣ	0..1	dateTime	Collection time
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:icd-o-3-topography	SΣ	1..1	Coding	ICD-O-3 Topography
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
fastingStatus[x]	SΣ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.extension:diagnosis.value[x].coding:no-icd	required	OtherSampleDiagnosis (a valid code from Other Sample Diagnosis)
Specimen.status	required	SpecimenStatus
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation

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
storageTemperature	S	0..*	CodeableConcept	Optional Extensions Element URL: https://fhir.bbmri.de/StructureDefinition/StorageTemperature Binding: Storage Temperature (required)
diagnosis	S	0..*	CodeableConcept	Sample Diagnosis URL: https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis"
value[x]	C	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system, value:version, value:$this
coding:icd-10-who	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-10
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd-10-gm	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/dimdi/icd-10-gm
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icd-9	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/sid/icd-9
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:no-icd	Σ	0..*	Coding	Code defined by a terminology system Binding: other sample diagnosis (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..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
custodian	S	0..1	Reference(Collection)	Extension URL: https://fhir.bbmri.de/StructureDefinition/Custodian
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!Σ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	0..1	CodeableConcept	Kind of material that forms the specimen Binding: Sample Material Type (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
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	S	0..1	BackboneElement	Collection details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	SΣ	0..1	dateTime	Collection time
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	SimpleQuantity	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite		0..1	CodeableConcept	Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
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:icd-o-3-topography	SΣ	1..1	Coding	ICD-O-3 Topography
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.3.6.1.4.1.19376.1.3.11.36
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..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
fastingStatus[x]	SΣ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
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..*	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		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: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Specimen.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Specimen.extension:diagnosis.value[x].coding:no-icd	required	OtherSampleDiagnosis (a valid code from Other Sample Diagnosis)
Specimen.status	required	SpecimenStatus
Specimen.type	required	SampleMaterialType (a valid code from Sample Material Type)
Specimen.collection.method	example	FHIRSpecimenCollectionMethod
Specimen.collection.bodySite	example	SNOMEDCTBodyStructures
Specimen.collection.fastingStatus[x]	required	Hl7VSRelevantClincialInformation
Specimen.processing.procedure	example	SpecimenProcessingProcedure
Specimen.container.type	example	SpecimenContainerType
Specimen.container.additive[x]	example	Hl7VSAdditivePreservative
Specimen.condition	extensible	Hl7VSSpecimenCondition

Summary

Mandatory: 0 element (2 nested mandatory elements)
Must-Support: 9 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• Patient (https://fhir.bbmri.de/StructureDefinition/Patient)

Extensions

This structure refers to these extensions:

• https://fhir.bbmri.de/StructureDefinition/StorageTemperature
• https://fhir.bbmri.de/StructureDefinition/SampleDiagnosis
• https://fhir.bbmri.de/StructureDefinition/Custodian

Slices

This structure defines the following Slices:

• The element Specimen.extension.value[x].coding is sliced based on the values of value:system, value:version, value:$this (Closed)
• The element Specimen.collection.bodySite.coding is sliced based on the value of value:system