Austrian Patient Summary (R4)
1.1.0 - STU2

Austrian Patient Summary (R4) - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AT APS Specimen

Official URL: https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen | Version: 1.1.0
Active as of 2026-02-17 | Computable Name: AtApsSpecimen

Das AT APS-Profil für die Specimen-Ressource berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte `imposeProfile`-Erweiterung verwendet wird.

Usages:

- Use this Profile: AT APS Bundle
- Refer to this Profile: AT APS DiagnosticReport, AT APS ImagingStudy, AT APS Observation and AT APS Specimen
- Examples for this Profile: Specimen/AtApsExampleSpecimen01
- CapabilityStatements using this Profile: AT APS CapabilityStatement (Server)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
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.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject | Σ | 0..1 | Reference(AT APS 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
parent |  | 0..* | Reference(AT APS Specimen) | Specimen from which this specimen originated
Slices for condition | Σ | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
condition:insufficientsample | Σ | 0..1 | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0
Specimen.condition:insufficientsample | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
type |  | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject |  | 0..1 | Reference(AT APS 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
parent |  | 0..* | Reference(AT APS Specimen) | Specimen from which this specimen originated
collection |  |  |  |
collector |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole) | Who collected the specimen
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
Slices for condition |  | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this
condition:insufficientsample |  | 0..1 | CodeableConcept | State of the specimen Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.collection.​bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject | Σ | 0..1 | Reference(AT APS 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(AT APS Specimen) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 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(AT APS Practitioner | AT APS PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | 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 (extensible): 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..* | 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(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | 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) |
Slices for condition | Σ | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
condition:insufficientsample | Σ | 0..1 | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
note |  | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦2.0.0 | THO v7.0
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | example | Specimen Container Type | 📍4.0.1 | FHIR Std.
Specimen.container.additive[x] | Base | example | hl7VS-additivePreservative | 📦2.0.0 | THO v7.0
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0
Specimen.condition:insufficientsample | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Specimen

Summary

Structures

This structure refers to these other structures:

- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Specimen (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Specimen.condition

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
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.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject | Σ | 0..1 | Reference(AT APS 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
parent |  | 0..* | Reference(AT APS Specimen) | Specimen from which this specimen originated
Slices for condition | Σ | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
condition:insufficientsample | Σ | 0..1 | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0
Specimen.condition:insufficientsample | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
type |  | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject |  | 0..1 | Reference(AT APS 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
parent |  | 0..* | Reference(AT APS Specimen) | Specimen from which this specimen originated
collection |  |  |  |
collector |  | 0..1 | Reference(AT APS Practitioner | AT APS PractitionerRole) | Who collected the specimen
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible): Codes describing anatomical locations. May include laterality.
Slices for condition |  | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this
condition:insufficientsample |  | 0..1 | CodeableConcept | State of the specimen Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.collection.​bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | AT APS Specimen This profile also imposes the profile Specimen (IPS)
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: https://termgit.elga.gv.at/ValueSet/elga-probenmaterial (extensible)
Additional Bindings | Purpose
https://termgit.elga.gv.at/ValueSet/elga-specimentype | candidate
subject | Σ | 0..1 | Reference(AT APS 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(AT APS Specimen) | Specimen from which this specimen originated
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected
collection |  | 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(AT APS Practitioner | AT APS PractitionerRole) | Who collected the specimen
collected[x] | Σ | 0..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | 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 (extensible): 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..* | 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(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | 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) |
Slices for condition | Σ | 0..* | CodeableConcept | State of the specimen Slice: Unordered, Open by value:$this Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
condition:insufficientsample | Σ | 0..1 | CodeableConcept | State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 281268007
display |  | 1..1 | string | Representation defined by the system Fixed Value: Insufficient sample (finding)
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
note |  | 0..* | Annotation | Comments
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Specimen.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Specimen.status | Base | required | SpecimenStatus | 📍4.0.1 | FHIR Std.
Specimen.type | Base | extensible | https://termgit.elga.gv.at/ValueSet/elga-probenmaterial | Not State | Unknown
Specimen.collection.​method | Base | example | FHIR Specimen Collection Method | 📍4.0.1 | FHIR Std.
Specimen.collection.​bodySite | Base | extensible | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.
Specimen.collection.​fastingStatus[x] | Base | extensible | hl7VS-relevantClincialInformation | 📦2.0.0 | THO v7.0
Specimen.processing.​procedure | Base | example | Specimen processing procedure | 📍4.0.1 | FHIR Std.
Specimen.container.type | Base | example | Specimen Container Type | 📍4.0.1 | FHIR Std.
Specimen.container.additive[x] | Base | example | hl7VS-additivePreservative | 📦2.0.0 | THO v7.0
Specimen.condition | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0
Specimen.condition:insufficientsample | Base | extensible | hl7VS-specimenCondition | 📦2.0.0 | THO v7.0

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).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()`
dom-5 | error | Specimen | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Specimen | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Specimen

Summary

Structures

This structure refers to these other structures:

- AT APS Patient (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-patient)
- AT APS Specimen (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-specimen)
- AT APS Practitioner (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitioner)
- AT APS PractitionerRole (https://fhir.hl7.at/elga/aps/r4/StructureDefinition/at-aps-practitionerrole)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Specimen.condition

Other representations of profile: CSV, Excel, Schematron