CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: LTC Monthly Event Specimen

This profile contains Required and Must Support data elements for reporting specimen information to the NHSN Long-term Care Monthly Digital Quality Measure. This profile inherits from the HL7 FHIR® US Core Specimen Profile v6.1.0.

Usages:

• Refer to this Profile: LTC Monthly Event Lab Result Observation
• Examples for this Profile: Specimen/specimen-example-ltc-monthly-uti-urine

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Kind of material that forms the specimen Binding: SpecimenType (20240606) (extensible)
Specimen.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (USCDI) The patient where the specimen came from.
Specimen.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collected[x]	S This element must be supported. Σ This element is included in summaries.	1..1		(NHSN-MS) Collection time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	extensible	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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.meta
Specimen.meta.Slices for extension				Content/Rules for all slices
Specimen.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Specimen.identifier	S This element must be supported.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	S This element must be supported.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error
Specimen.type		1..1	CodeableConcept	(NHSN-MS)(USCDI) Kind of material that forms the specimen
Specimen.subject		0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(USCDI) The patient where the specimen came from.
Specimen.subject.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.collected[x]	S This element must be supported.	1..1	dateTime, Period	(NHSN-MS) Collection time
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.collection.​bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Specimen.meta.id		0..1	string	Unique id for inter-element referencing
Specimen.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Specimen.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Specimen.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Specimen.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Specimen.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Specimen.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Specimen.meta.tag	Σ This element is included in summaries.	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".
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Specimen.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
Specimen.contained		0..*	Resource	Contained, inline Resources
Specimen.extension		0..*	Extension	Additional content defined by implementations
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Kind of material that forms the specimen Binding: SpecimenType (20240606) (extensible)
Specimen.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (USCDI) The patient where the specimen came from.
Specimen.subject.id		0..1	string	Unique id for inter-element referencing
Specimen.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.subject.type	Σ This element is included in summaries.	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).
Specimen.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Specimen.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Specimen.receivedTime	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing
Specimen.parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
Specimen.request		0..*	Reference(ServiceRequest)	Why the specimen was collected
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.extension		0..*	Extension	Additional content defined by implementations
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collector	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Specimen.collection.collected[x]	S This element must be supported. Σ This element is included in summaries.	1..1		(NHSN-MS) Collection time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.duration	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen
Specimen.collection.quantity	C	0..1	SimpleQuantity	The quantity of specimen collected Constraints: sqty-1
Specimen.collection.method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Specimen.collection.fastingStatus[x]	Σ This element is included in summaries.	0..1		Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
Specimen.collection.fastingStatus[x].fastingStatusCodeableConcept			CodeableConcept
Specimen.collection.fastingStatus[x].fastingStatusDuration			Duration
Specimen.processing		0..*	BackboneElement	Processing and processing step details
Specimen.processing.id		0..1	string	Unique id for inter-element referencing
Specimen.processing.extension		0..*	Extension	Additional content defined by implementations
Specimen.processing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.processing.description		0..1	string	Textual description of procedure
Specimen.processing.procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Specimen.processing.additive		0..*	Reference(Substance)	Material used in the processing step
Specimen.processing.time[x]		0..1		Date and time of specimen processing
Specimen.processing.time[x].timeDateTime			dateTime
Specimen.processing.time[x].timePeriod			Period
Specimen.container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
Specimen.container.id		0..1	string	Unique id for inter-element referencing
Specimen.container.extension		0..*	Extension	Additional content defined by implementations
Specimen.container.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.container.identifier	Σ This element is included in summaries.	0..*	Identifier	Id for the container
Specimen.container.description		0..1	string	Textual description of the container
Specimen.container.type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
Specimen.container.capacity	C	0..1	SimpleQuantity	Container volume or size Constraints: sqty-1
Specimen.container.specimenQuantity	C	0..1	SimpleQuantity	Quantity of specimen within container Constraints: sqty-1
Specimen.container.additive[x]		0..1		Additive associated with container Binding: Hl7VSAdditivePreservative (3.0.0) (example): Substance added to specimen container.
Specimen.container.additive[x].additiveCodeableConcept			CodeableConcept
Specimen.container.additive[x].additiveReference			Reference(Substance)
Specimen.condition	Σ This element is included in summaries.	0..*	CodeableConcept	State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
Specimen.note		0..*	Annotation	Comments
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	extensible	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	📍3.0.0	THO v7.1
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	📍3.0.0	THO v7.1
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📍3.0.0	THO v7.1

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()
sqty-1	error	Specimen.collection.quantity, Specimen.container.capacity, Specimen.container.specimenQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from USCoreSpecimenProfile

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Kind of material that forms the specimen Binding: SpecimenType (20240606) (extensible)
Specimen.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (USCDI) The patient where the specimen came from.
Specimen.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collected[x]	S This element must be supported. Σ This element is included in summaries.	1..1		(NHSN-MS) Collection time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Specimen.status	Base	required	SpecimenStatus	📍4.0.1	FHIR Std.
Specimen.type	Base	extensible	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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.meta
Specimen.meta.Slices for extension				Content/Rules for all slices
Specimen.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Specimen.identifier	S This element must be supported.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	S This element must be supported.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error
Specimen.type		1..1	CodeableConcept	(NHSN-MS)(USCDI) Kind of material that forms the specimen
Specimen.subject		0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(USCDI) The patient where the specimen came from.
Specimen.subject.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.collected[x]	S This element must be supported.	1..1	dateTime, Period	(NHSN-MS) Collection time
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Specimen.collection.​bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Specimen	S This element must be supported.	0..*	USCoreSpecimenProfile(6.1.0)	(NHSN-MS) Sample for analysis
Specimen.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
Specimen.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Specimen.meta.id		0..1	string	Unique id for inter-element referencing
Specimen.meta.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
Specimen.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
Specimen.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
Specimen.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
Specimen.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Specimen.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Specimen.meta.tag	Σ This element is included in summaries.	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".
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Specimen.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
Specimen.contained		0..*	Resource	Contained, inline Resources
Specimen.extension		0..*	Extension	Additional content defined by implementations
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	(NHSN-MS) External Identifier
Specimen.accessionIdentifier	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	(NHSN-MS) Identifier assigned by the lab
Specimen.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
Specimen.type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) (USCDI) Kind of material that forms the specimen Binding: SpecimenType (20240606) (extensible)
Specimen.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (USCDI) The patient where the specimen came from.
Specimen.subject.id		0..1	string	Unique id for inter-element referencing
Specimen.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Specimen.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
Specimen.subject.type	Σ This element is included in summaries.	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).
Specimen.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
Specimen.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
Specimen.receivedTime	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing
Specimen.parent		0..*	Reference(Specimen)	Specimen from which this specimen originated
Specimen.request		0..*	Reference(ServiceRequest)	Why the specimen was collected
Specimen.collection	S This element must be supported.	1..1	BackboneElement	(NHSN-MS) Collection details
Specimen.collection.id		0..1	string	Unique id for inter-element referencing
Specimen.collection.extension		0..*	Extension	Additional content defined by implementations
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collector	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Specimen.collection.collected[x]	S This element must be supported. Σ This element is included in summaries.	1..1		(NHSN-MS) Collection time
Specimen.collection.collected[x].collectedDateTime			dateTime
Specimen.collection.collected[x].collectedPeriod			Period
Specimen.collection.duration	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen
Specimen.collection.quantity	C	0..1	SimpleQuantity	The quantity of specimen collected Constraints: sqty-1
Specimen.collection.method		0..1	CodeableConcept	Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.
Specimen.collection.bodySite	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Specimen.collection.fastingStatus[x]	Σ This element is included in summaries.	0..1		Whether or how long patient abstained from food and/or drink Binding: Hl7VSRelevantClincialInformation (3.0.0) (extensible): Codes describing the fasting status of the patient.
Specimen.collection.fastingStatus[x].fastingStatusCodeableConcept			CodeableConcept
Specimen.collection.fastingStatus[x].fastingStatusDuration			Duration
Specimen.processing		0..*	BackboneElement	Processing and processing step details
Specimen.processing.id		0..1	string	Unique id for inter-element referencing
Specimen.processing.extension		0..*	Extension	Additional content defined by implementations
Specimen.processing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.processing.description		0..1	string	Textual description of procedure
Specimen.processing.procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: SpecimenProcessingProcedure (example): Type indicating the technique used to process the specimen.
Specimen.processing.additive		0..*	Reference(Substance)	Material used in the processing step
Specimen.processing.time[x]		0..1		Date and time of specimen processing
Specimen.processing.time[x].timeDateTime			dateTime
Specimen.processing.time[x].timePeriod			Period
Specimen.container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
Specimen.container.id		0..1	string	Unique id for inter-element referencing
Specimen.container.extension		0..*	Extension	Additional content defined by implementations
Specimen.container.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.container.identifier	Σ This element is included in summaries.	0..*	Identifier	Id for the container
Specimen.container.description		0..1	string	Textual description of the container
Specimen.container.type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: SpecimenContainerType (example): Type of specimen container.
Specimen.container.capacity	C	0..1	SimpleQuantity	Container volume or size Constraints: sqty-1
Specimen.container.specimenQuantity	C	0..1	SimpleQuantity	Quantity of specimen within container Constraints: sqty-1
Specimen.container.additive[x]		0..1		Additive associated with container Binding: Hl7VSAdditivePreservative (3.0.0) (example): Substance added to specimen container.
Specimen.container.additive[x].additiveCodeableConcept			CodeableConcept
Specimen.container.additive[x].additiveReference			Reference(Substance)
Specimen.condition	Σ This element is included in summaries.	0..*	CodeableConcept	State of the specimen Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
Specimen.note		0..*	Annotation	Comments
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	extensible	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	📍3.0.0	THO v7.1
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	📍3.0.0	THO v7.1
Specimen.condition	Base	extensible	hl7VS-specimenCondition	📍3.0.0	THO v7.1

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()
sqty-1	error	Specimen.collection.quantity, Specimen.container.capacity, Specimen.container.specimenQuantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from USCoreSpecimenProfile

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 2

Other representations of profile: CSV, Excel, Schematron