CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
2.0.0-cibuild - Release 2 ci-build United States of America flag

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event Specimen

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen Version: 2.0.0-cibuild
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingSpecimen

This profile contains Required and Must Support data elements for reporting specimen information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Specimen profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.0.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!SΣ 0..1 code available | unavailable | unsatisfactory | entered-in-error
    Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
    ... type SΣ 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... collection S 1..1 BackboneElement Collection details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collected[x] SΣ 1..1 Collection time
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)

    doco 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 required Specimen type . 📍20240606 VSAC v0.22
    Specimen.collection.​bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    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 USCoreSpecimenProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... identifier S 0..* Identifier External Identifier
    ... status S 0..1 code available | unavailable | unsatisfactory | entered-in-error
    ... type 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... collection S 1..1 BackboneElement Collection details
    .... collected[x] S 1..1 dateTime, Period Collection time
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Specimen.type Base required Specimen type . 📍20240606 VSAC v0.22
    Specimen.collection.​bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... 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:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 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
    ... 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 SΣ 0..* Identifier External Identifier
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!SΣ 0..1 code available | unavailable | unsatisfactory | entered-in-error
    Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
    ... type SΣ 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
    ... parent 0..* Reference(Specimen) Specimen from which this specimen originated
    ... request 0..* Reference(ServiceRequest) Why the specimen was collected
    ... collection S 1..1 BackboneElement Collection details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
    .... collected[x] SΣ 1..1 Collection time
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    .... duration Σ 0..1 Duration How long it took to collect specimen
    .... quantity 0..1 SimpleQuantity The quantity of specimen collected
    .... method 0..1 CodeableConcept Technique used to perform collection
    Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)
    .... 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 Container volume or size
    .... specimenQuantity 0..1 SimpleQuantity Quantity of specimen within container
    .... additive[x] 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition Σ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
    ... note 0..* Annotation Comments

    doco 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 required Specimen type . 📍20240606 VSAC v0.22
    Specimen.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    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 v6.5
    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 v6.5
    Specimen.condition Base extensible hl7VS-specimenCondition 📦2.0.0 THO v6.5

    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 USCoreSpecimenProfile

    Summary

    Mandatory: 4 elements(1 nested mandatory element)
    Must-Support: 7 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id Σ 1..1 id Logical id of this artifact
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!SΣ 0..1 code available | unavailable | unsatisfactory | entered-in-error
    Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
    ... type SΣ 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    ... collection S 1..1 BackboneElement Collection details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collected[x] SΣ 1..1 Collection time
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)

    doco 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 required Specimen type . 📍20240606 VSAC v0.22
    Specimen.collection.​bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    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 USCoreSpecimenProfile

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id 1..1 id Logical id of this artifact
    ... meta
    .... Slices for extension Content/Rules for all slices
    ..... extension:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    ... identifier S 0..* Identifier External Identifier
    ... status S 0..1 code available | unavailable | unsatisfactory | entered-in-error
    ... type 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
    ... collection S 1..1 BackboneElement Collection details
    .... collected[x] S 1..1 dateTime, Period Collection time
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Specimen.type Base required Specimen type . 📍20240606 VSAC v0.22
    Specimen.collection.​bodySite Base extensible SNOMED CT Body Structures 📦4.0.1 FHIR Std.

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
    ... id Σ 1..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    .... 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:link-received-date-extension 0..1 dateTime Received Date
    URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
    .... versionId Σ 0..1 id Version specific identifier
    .... lastUpdated Σ 0..1 instant When the resource version last changed
    .... source Σ 0..1 uri Identifies where the resource comes from
    .... profile Σ 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
    ... 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 SΣ 0..* Identifier External Identifier
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!SΣ 0..1 code available | unavailable | unsatisfactory | entered-in-error
    Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
    ... type SΣ 1..1 CodeableConcept (USCDI) Kind of material that forms the specimen
    Binding: SpecimenType (20240606) . (required)
    ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) (USCDI) The patient where the specimen came from.
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
    .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
    Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
    .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
    .... display Σ 0..1 string Text alternative for the resource
    ... receivedTime Σ 0..1 dateTime The time when specimen was received for processing
    ... parent 0..* Reference(Specimen) Specimen from which this specimen originated
    ... request 0..* Reference(ServiceRequest) Why the specimen was collected
    ... collection S 1..1 BackboneElement Collection details
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collector Σ 0..1 Reference(Practitioner | PractitionerRole) Who collected the specimen
    .... collected[x] SΣ 1..1 Collection time
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    .... duration Σ 0..1 Duration How long it took to collect specimen
    .... quantity 0..1 SimpleQuantity The quantity of specimen collected
    .... method 0..1 CodeableConcept Technique used to perform collection
    Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
    .... bodySite S 1..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (extensible)
    .... 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 Container volume or size
    .... specimenQuantity 0..1 SimpleQuantity Quantity of specimen within container
    .... additive[x] 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.
    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition Σ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.
    ... note 0..* Annotation Comments

    doco 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 required Specimen type . 📍20240606 VSAC v0.22
    Specimen.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
    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 v6.5
    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 v6.5
    Specimen.condition Base extensible hl7VS-specimenCondition 📦2.0.0 THO v6.5

    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 USCoreSpecimenProfile

    Summary

    Mandatory: 4 elements(1 nested mandatory element)
    Must-Support: 7 elements

    Structures

    This structure refers to these other structures:

    Extensions

    This structure refers to these extensions:

    Maturity: 1

     

    Other representations of profile: CSV, Excel, Schematron