NP Core Specimen

Sets minimum expectations for representing a specimen (e.g. a blood, urine, or tissue sample) collected from a patient for laboratory analysis in Nepal.

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Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-specimen
Resource / type: Specimen
Based on: http://hl7.org/fhir/StructureDefinition/Specimen
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`Specimen.subject` 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	1..1	Always

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

Specimen.identifier
Specimen.status
Specimen.type
Specimen.subject
Specimen.collection

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`Specimen.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`Specimen.status`	required	http://hl7.org/fhir/ValueSet/specimen-status
`Specimen.type`	example	http://terminology.hl7.org/ValueSet/v2-0487
`Specimen.collection.method`	example	http://hl7.org/fhir/ValueSet/specimen-collection-method
`Specimen.collection.bodySite`	example	http://hl7.org/fhir/ValueSet/body-site
`Specimen.collection.fastingStatus[x]`	extensible	http://terminology.hl7.org/ValueSet/v2-0916
`Specimen.processing.procedure`	example	http://hl7.org/fhir/ValueSet/specimen-processing-procedure
`Specimen.container.type`	example	http://hl7.org/fhir/ValueSet/specimen-container-type
`Specimen.container.additive[x]`	example	http://terminology.hl7.org/ValueSet/v2-0371
`Specimen.condition`	extensible	http://terminology.hl7.org/ValueSet/v2-0493

Official examples

Specimen/ExampleNPCoreSpecimen

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{
  "resourceType": "Specimen",
  "id": "ExampleNPCoreSpecimen",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-specimen"
    ]
  },
  "status": "available",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0487",
        "code": "SER",
        "display": "Serum"
      }
    ]
  },
  "subject": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "collection": {
    "collector": {
      "reference": "Practitioner/ExampleNPCorePractitioner"
    },
    "collectedDateTime": "2026-05-10T10:30:00+05:45"
  }
}

Narrative (text) removed for readability.