Specimen describes the material examined microbiologically. The profile derives from MII_PR_Biobank_Specimen_Bioprobe_Core, a base profile written so that modules derive from it rather than implement it directly. Observation.specimen of every investigation profile in this module references it.

Ballot question 1 — can you supply a Specimen resource for every result? Every investigation profile here requires Observation.specimen. The HL7 EU Lab Semantic Workgroup states that the specimen shall always be represented explicitly in a Specimen resource, even where the LOINC code already carries it, so the question is deliverability rather than principle. Feedback from German laboratory practice is that one is frequently not produced. Full statement of the question on Specimen.

Specimen type

Specimen.type.coding:sct keeps the inherited binding to the biobank specimen type set. It is descendent-of 123038009 |Specimen| and therefore covers the microbiological specimen types; an own value set would be a subset without additional meaning. One gap: the root code 123038009 itself is excluded, so "specimen, unspecified" cannot be expressed. The binding is extensible, so the case remains a warning rather than an error.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:feature		0..*	(Complex)	MII EX Biobank Feature R5 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature
extension:probenebene	S	0..*	Coding	MII EX Biobank Ebene URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-ebene Binding: MII VS Biobank Probenebene (required)
extension:infektiositaetsstatus	S	0..1	CodeableConcept	MII EX Biobank Infektiositätsstatus URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-infektiositaetsstatus Binding: MII VS Biobank Biosafety-Level Einstufung [SNOMED CT] (required)
extension:focus	S	0..1	Reference(RelatedPerson | Group | Device | Substance | Location)	Specimen Focus URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier
status	?!SΣ	1..1	code	Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung. Binding: hl7VS-specimenType (example): The type of the specimen.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Probenart SCT (extensible)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	SΣ	1..1	Reference(Patient)
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
parent	S	0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
request	S	0..*	Reference(ServiceRequest)
collection	S	1..1	BackboneElement
Slices for extension				Content/Rules for all slices
extension:einstellungBlutversorgung	S	0..1	dateTime	MII EX Biobank Einstellung Blutversorgung URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/EinstellungBlutversorgung
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collected[x]	SΣ	1..1		Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
collectedDateTime			dateTime
collectedPeriod			Period
quantity	S	0..1	SimpleQuantity(4.0.1)
Slices for extension				Content/Rules for all slices
extension:pqTranslation		0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation
extension:quantityPrecision		0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bodySite	SC	0..1	CodeableConcept	Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Constraints: mii-bb-1
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Biobank BodyStructures SCT (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:icd-o-3	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Onkologie ICD-O-3 Topographie (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
Slices for fastingStatus[x]	SΣ	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
Slices for processing	S	0..*	BackboneElement	Slice: Unordered, Open by value:$this.procedure
processing:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
procedure	S	1..1	CodeableConcept	Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Laboratory Procedure SCT (preferred)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
additive	S	0..*	Reference(MII PR Biobank Substance Additiv)
Slices for time[x]	S	0..1		Date and time of specimen processing Slice: Unordered, Open by type:$this
timeDateTime			dateTime
timePeriod			Period
time[x]:timePeriod	S	0..1	Period
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
processing:lagerprozess	S	0..*	BackboneElement	Processing and processing step details
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
procedure		1..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process 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: 1186936003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for time[x]		1..1	Period	Date and time of specimen processing Slice: Unordered, Closed by type:$this
Slices for time[x]				Content/Rules for all slices
time[x]:timePeriod		1..1	Period	Date and time of specimen processing
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
container	S	0..*	BackboneElement
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	S	1..1	CodeableConcept	Binding: MII VS Biobank Containertyp SCT (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
capacity	S	0..1	SimpleQuantity(4.0.1)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
specimenQuantity	S	0..1	SimpleQuantity(4.0.1)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
Slices for additive[x]	S	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveReference		0..1	Reference(MII PR Biobank Substance Additiv)	Additive associated with container
note	S	0..*	Annotation
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	example	hl7VS-specimenType	📦3.0.0	THO v7.2
Specimen.type.coding:sct	Base	extensible	MII VS Biobank Probenart SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite.coding:sct	Base	required	MII VS Biobank BodyStructures SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite.coding:icd-o-3	Base	required	MII VS Onkologie ICD-O-3 Topographie	⏿2025.1.0	127.0.0.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.collection.​fastingStatus[x]:fastingStatusCodeableConcept	Base	required	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.processing.​procedure.coding:sct	Base	preferred	MII VS Biobank Laboratory Procedure SCT	📦2027.0.0-ballot	This IG
Specimen.processing:lagerprozess.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	extensible	MII VS Biobank Containertyp SCT	📦2027.0.0-ballot	This IG
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦3.0.0	THO v7.2

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()
mii-bb-1	error	Specimen.collection.bodySite	Bei der Angabe der Entnahmestelle muss ein ICD-O-3 Topographiecode oder ein SNOMED CT Code angegeben werden.	coding.where(system = 'http://snomed.info/sct' or system = 'http://terminology.hl7.org/CodeSystem/icd-o-3').exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
type		1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung.
parent		0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
collection
collected[x]		1..1	dateTime, Period	Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
processing		0..*	BackboneElement
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:feature		0..*	(Complex)	MII EX Biobank Feature R5 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature
extension:probenebene	S	0..*	Coding	MII EX Biobank Ebene URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-ebene Binding: MII VS Biobank Probenebene (required)
extension:infektiositaetsstatus	S	0..1	CodeableConcept	MII EX Biobank Infektiositätsstatus URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-infektiositaetsstatus Binding: MII VS Biobank Biosafety-Level Einstufung [SNOMED CT] (required)
extension:focus	S	0..1	Reference(RelatedPerson | Group | Device | Substance | Location)	Specimen Focus URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!SΣ	1..1	code	Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung. Binding: hl7VS-specimenType (example): The type of the specimen.
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, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Probenart SCT (extensible)
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 Required Pattern: http://snomed.info/sct
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
subject	SΣ	1..1	Reference(Patient)
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
parent	S	0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
request	S	0..*	Reference(ServiceRequest)
collection	S	1..1	BackboneElement
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:einstellungBlutversorgung	S	0..1	dateTime	MII EX Biobank Einstellung Blutversorgung URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/EinstellungBlutversorgung
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	1..1		Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
collectedDateTime			dateTime
collectedPeriod			Period
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:pqTranslation		0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation
extension:quantityPrecision		0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite	SC	0..1	CodeableConcept	Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Constraints: mii-bb-1
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:$this.system
coding:All Slices				Content/Rules for all slices
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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:sct	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Biobank BodyStructures SCT (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	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
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
coding:icd-o-3	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Onkologie ICD-O-3 Topographie (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	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
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
Slices for fastingStatus[x]	SΣ	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for processing	S	0..*	BackboneElement	Slice: Unordered, Open by value:$this.procedure
processing:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure	S	1..1	CodeableConcept	Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
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, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Laboratory Procedure SCT (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
additive	S	0..*	Reference(MII PR Biobank Substance Additiv)
Slices for time[x]	S	0..1		Date and time of specimen processing Slice: Unordered, Open by type:$this
timeDateTime			dateTime
timePeriod			Period
time[x]:timePeriod	S	0..1	Period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
processing:lagerprozess	S	0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		1..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process 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: 1186936003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
additive		0..*	Reference(Substance)	Material used in the processing step
Slices for time[x]		1..1	Period	Date and time of specimen processing Slice: Unordered, Closed by type:$this
Slices for time[x]				Content/Rules for all slices
time[x]:timePeriod		1..1	Period	Date and time of specimen processing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
container	S	0..*	BackboneElement
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	S	1..1	CodeableConcept	Binding: MII VS Biobank Containertyp SCT (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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
capacity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
specimenQuantity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
Slices for additive[x]	S	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveReference		0..1	Reference(MII PR Biobank Substance Additiv)	Additive associated with container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note	S	0..*	Annotation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Specimen.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Specimen.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	example	hl7VS-specimenType	📦3.0.0	THO v7.2
Specimen.type.coding:sct	Base	extensible	MII VS Biobank Probenart SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite.coding:sct	Base	required	MII VS Biobank BodyStructures SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite.coding:icd-o-3	Base	required	MII VS Onkologie ICD-O-3 Topographie	⏿2025.1.0	127.0.0.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.collection.​fastingStatus[x]:fastingStatusCodeableConcept	Base	required	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.processing.​procedure.coding:sct	Base	preferred	MII VS Biobank Laboratory Procedure SCT	📦2027.0.0-ballot	This IG
Specimen.processing:lagerprozess.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	extensible	MII VS Biobank Containertyp SCT	📦2027.0.0-ballot	This IG
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦3.0.0	THO v7.2
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📦3.0.0	THO v7.2

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()
mii-bb-1	error	Specimen.collection.bodySite	Bei der Angabe der Entnahmestelle muss ein ICD-O-3 Topographiecode oder ein SNOMED CT Code angegeben werden.	coding.where(system = 'http://snomed.info/sct' or system = 'http://terminology.hl7.org/CodeSystem/icd-o-3').exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:feature		0..*	(Complex)	MII EX Biobank Feature R5 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature
extension:probenebene	S	0..*	Coding	MII EX Biobank Ebene URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-ebene Binding: MII VS Biobank Probenebene (required)
extension:infektiositaetsstatus	S	0..1	CodeableConcept	MII EX Biobank Infektiositätsstatus URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-infektiositaetsstatus Binding: MII VS Biobank Biosafety-Level Einstufung [SNOMED CT] (required)
extension:focus	S	0..1	Reference(RelatedPerson | Group | Device | Substance | Location)	Specimen Focus URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier
status	?!SΣ	1..1	code	Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung. Binding: hl7VS-specimenType (example): The type of the specimen.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Probenart SCT (extensible)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
subject	SΣ	1..1	Reference(Patient)
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
parent	S	0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
request	S	0..*	Reference(ServiceRequest)
collection	S	1..1	BackboneElement
Slices for extension				Content/Rules for all slices
extension:einstellungBlutversorgung	S	0..1	dateTime	MII EX Biobank Einstellung Blutversorgung URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/EinstellungBlutversorgung
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collected[x]	SΣ	1..1		Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
collectedDateTime			dateTime
collectedPeriod			Period
quantity	S	0..1	SimpleQuantity(4.0.1)
Slices for extension				Content/Rules for all slices
extension:pqTranslation		0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation
extension:quantityPrecision		0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
bodySite	SC	0..1	CodeableConcept	Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Constraints: mii-bb-1
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Biobank BodyStructures SCT (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:icd-o-3	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Onkologie ICD-O-3 Topographie (required)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
Slices for fastingStatus[x]	SΣ	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
Slices for processing	S	0..*	BackboneElement	Slice: Unordered, Open by value:$this.procedure
processing:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
procedure	S	1..1	CodeableConcept	Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Laboratory Procedure SCT (preferred)
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
additive	S	0..*	Reference(MII PR Biobank Substance Additiv)
Slices for time[x]	S	0..1		Date and time of specimen processing Slice: Unordered, Open by type:$this
timeDateTime			dateTime
timePeriod			Period
time[x]:timePeriod	S	0..1	Period
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
processing:lagerprozess	S	0..*	BackboneElement	Processing and processing step details
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
procedure		1..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process 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: 1186936003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for time[x]		1..1	Period	Date and time of specimen processing Slice: Unordered, Closed by type:$this
Slices for time[x]				Content/Rules for all slices
time[x]:timePeriod		1..1	Period	Date and time of specimen processing
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
container	S	0..*	BackboneElement
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	S	1..1	CodeableConcept	Binding: MII VS Biobank Containertyp SCT (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
capacity	S	0..1	SimpleQuantity(4.0.1)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
specimenQuantity	S	0..1	SimpleQuantity(4.0.1)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
Slices for additive[x]	S	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveReference		0..1	Reference(MII PR Biobank Substance Additiv)	Additive associated with container
note	S	0..*	Annotation
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	example	hl7VS-specimenType	📦3.0.0	THO v7.2
Specimen.type.coding:sct	Base	extensible	MII VS Biobank Probenart SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite.coding:sct	Base	required	MII VS Biobank BodyStructures SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite.coding:icd-o-3	Base	required	MII VS Onkologie ICD-O-3 Topographie	⏿2025.1.0	127.0.0.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.collection.​fastingStatus[x]:fastingStatusCodeableConcept	Base	required	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.processing.​procedure.coding:sct	Base	preferred	MII VS Biobank Laboratory Procedure SCT	📦2027.0.0-ballot	This IG
Specimen.processing:lagerprozess.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	extensible	MII VS Biobank Containertyp SCT	📦2027.0.0-ballot	This IG
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦3.0.0	THO v7.2

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()
mii-bb-1	error	Specimen.collection.bodySite	Bei der Angabe der Entnahmestelle muss ein ICD-O-3 Topographiecode oder ein SNOMED CT Code angegeben werden.	coding.where(system = 'http://snomed.info/sct' or system = 'http://terminology.hl7.org/CodeSystem/icd-o-3').exists()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
type		1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung.
parent		0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
collection
collected[x]		1..1	dateTime, Period	Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
processing		0..*	BackboneElement
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen		0..*	MII_PR_Biobank_Specimen_Bioprobe_Core	Sample for analysis
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:feature		0..*	(Complex)	MII EX Biobank Feature R5 URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.feature
extension:probenebene	S	0..*	Coding	MII EX Biobank Ebene URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-ebene Binding: MII VS Biobank Probenebene (required)
extension:infektiositaetsstatus	S	0..1	CodeableConcept	MII EX Biobank Infektiositätsstatus URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/mii-ex-biobank-infektiositaetsstatus Binding: MII VS Biobank Biosafety-Level Einstufung [SNOMED CT] (required)
extension:focus	S	0..1	Reference(RelatedPerson | Group | Device | Substance | Location)	Specimen Focus URL: http://hl7.eu/fhir/laboratory/StructureDefinition/specimen-focus
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab
status	?!SΣ	1..1	code	Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type	SΣ	1..1	CodeableConcept	Probenart. Auch dann anzugeben, wenn das Material im verwendeten LOINC-Code bereits praekoordiniert ist — nur so steht die Probenart strukturiert und unabhaengig vom Untersuchungscode zur Verfuegung. Binding: hl7VS-specimenType (example): The type of the specimen.
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, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Probenart SCT (extensible)
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 Required Pattern: http://snomed.info/sct
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
subject	SΣ	1..1	Reference(Patient)
receivedTime	SΣ	0..1	dateTime	The time when specimen was received for processing
parent	S	0..*	Reference(Specimen)	Verweis auf das Material, aus dem diese Probe gewonnen wurde — etwa ein Isolat aus einer Primaerprobe. Traegt die Kette von der Primaerprobe zum Isolat, auf das sich Empfindlichkeitstestung und Resistenzmechanismen beziehen.
request	S	0..*	Reference(ServiceRequest)
collection	S	1..1	BackboneElement
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:einstellungBlutversorgung	S	0..1	dateTime	MII EX Biobank Einstellung Blutversorgung URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/EinstellungBlutversorgung
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	1..1		Entnahmezeitpunkt. Ist er nicht bekannt, kann stattdessen Specimen.receivedTime dokumentiert werden; der Parent verlangt collected[x] jedoch verpflichtend.
collectedDateTime			dateTime
collectedPeriod			Period
duration	Σ	0..1	Duration	How long it took to collect specimen
quantity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:pqTranslation		0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation
extension:quantityPrecision		0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
bodySite	SC	0..1	CodeableConcept	Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. Constraints: mii-bb-1
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:$this.system
coding:All Slices				Content/Rules for all slices
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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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:sct	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Biobank BodyStructures SCT (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	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
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
coding:icd-o-3	SΣ	0..*	Coding	Code defined by a terminology system Binding: MII VS Onkologie ICD-O-3 Topographie (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	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
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
Slices for fastingStatus[x]	SΣ	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.
fastingStatusCodeableConcept			CodeableConcept
fastingStatusDuration			Duration
fastingStatus[x]:fastingStatusCodeableConcept	Σ	0..1	CodeableConcept	Whether or how long patient abstained from food and/or drink Binding: hl7VS-relevantClincialInformation (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for processing	S	0..*	BackboneElement	Slice: Unordered, Open by value:$this.procedure
processing:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure	S	1..1	CodeableConcept	Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
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, Open by value:$this.system
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Biobank Laboratory Procedure SCT (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
additive	S	0..*	Reference(MII PR Biobank Substance Additiv)
Slices for time[x]	S	0..1		Date and time of specimen processing Slice: Unordered, Open by type:$this
timeDateTime			dateTime
timePeriod			Period
time[x]:timePeriod	S	0..1	Period
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
processing:lagerprozess	S	0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:temperaturbedingungen	S	0..1	Range	MII EX Biobank Temperaturbedingungen URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-biobank/StructureDefinition/Temperaturbedingungen
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure
procedure		1..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process 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: 1186936003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
additive		0..*	Reference(Substance)	Material used in the processing step
Slices for time[x]		1..1	Period	Date and time of specimen processing Slice: Unordered, Closed by type:$this
Slices for time[x]				Content/Rules for all slices
time[x]:timePeriod		1..1	Period	Date and time of specimen processing
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
container	S	0..*	BackboneElement
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	S	1..1	CodeableConcept	Binding: MII VS Biobank Containertyp SCT (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	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	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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
capacity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
specimenQuantity	S	0..1	SimpleQuantity(4.0.1)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
Slices for additive[x]	S	0..1		Slice: Unordered, Open by type:$this Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
additiveCodeableConcept			CodeableConcept
additiveReference			Reference(Substance)
additive[x]:additiveReference		0..1	Reference(MII PR Biobank Substance Additiv)	Additive associated with container
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
note	S	0..*	Annotation
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Specimen.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Specimen.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	example	hl7VS-specimenType	📦3.0.0	THO v7.2
Specimen.type.coding:sct	Base	extensible	MII VS Biobank Probenart SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​method	Base	example	FHIR Specimen Collection Method	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Specimen.collection.​bodySite.coding:sct	Base	required	MII VS Biobank BodyStructures SCT	📦2027.0.0-ballot	This IG
Specimen.collection.​bodySite.coding:icd-o-3	Base	required	MII VS Onkologie ICD-O-3 Topographie	⏿2025.1.0	127.0.0.1
Specimen.collection.​fastingStatus[x]	Base	extensible	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.collection.​fastingStatus[x]:fastingStatusCodeableConcept	Base	required	hl7VS-relevantClincialInformation	📦3.0.0	THO v7.2
Specimen.processing.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.processing.​procedure.coding:sct	Base	preferred	MII VS Biobank Laboratory Procedure SCT	📦2027.0.0-ballot	This IG
Specimen.processing:lagerprozess.​procedure	Base	example	Specimen processing procedure	📍4.0.1	FHIR Std.
Specimen.container.type	Base	extensible	MII VS Biobank Containertyp SCT	📦2027.0.0-ballot	This IG
Specimen.container.additive[x]	Base	example	hl7VS-additivePreservative	📦3.0.0	THO v7.2
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📦3.0.0	THO v7.2

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()
mii-bb-1	error	Specimen.collection.bodySite	Bei der Angabe der Entnahmestelle muss ein ICD-O-3 Topographiecode oder ein SNOMED CT Code angegeben werden.	coding.where(system = 'http://snomed.info/sct' or system = 'http://terminology.hl7.org/CodeSystem/icd-o-3').exists()

Summary