Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/Specimen	http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|6.1.0	Values Differ
copyright
description	This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) specimen information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the [HL7 FHIR R4 Specimen Resource v4.0.1](http://hl7.org/fhir/R4/specimen.html).	This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) specimen information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile inherits from the US Core 6.1.0 [Specimen](https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-specimen.html) profile.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	AcuteCareHospitalDailyEventSpecimen
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	ACH Daily Event Specimen
type	Specimen
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Specimen		0..*	Specimen	Sample for analysis		0..*	USCoreSpecimenProfile(6.1.0)	Sample for analysis
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) Logical id of this artifact	Elements differ in definition for mustSupport: 'false' vs 'true'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (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	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at Specimen.language using binding from AcuteCareHospitalDailyEventSpecimen
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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Identifier	SΣ	0..*	Identifier	(NHSN-MS)(USCDI) Business Identifier for the specimen
accessionIdentifier	SΣ	0..1	Identifier	Identifier assigned by the lab	SΣ	0..1	Identifier	(NHSN-MS)(USCDI) Identifier assigned by the lab
status	?!SΣ	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen.	?!SΣ	0..1	code	(NHSN-MS)(USCDI) available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen.
type	Σ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: ?? (extensible)	SΣ	1..1	CodeableConcept	(NHSN-MS)(QI-Core)(USCDI) Kind of specimen Binding: ?? (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true' Unable to resolve left value set http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54 at Specimen.type
subject	Σ	0..1	Reference(Patient | Group | Device | Substance | Location)	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	SΣ	0..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) Who or what the specimen is from	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
reference					SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL	Added this element
type					Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Added this element
identifier					Σ	0..1	Identifier	Logical reference, when literal reference is not known	Added this element
display					Σ	0..1	string	Text alternative for the resource	Added this element
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing	Σ	0..1	dateTime	The time when specimen was received for processing
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated		0..*	Reference(Specimen)	Specimen from which this specimen originated
request		0..*	Reference(ServiceRequest)	Why the specimen was collected		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		1..1	BackboneElement	Collection details	S	1..1	BackboneElement	(NHSN-MS)(QI-Core)(USCDI) Collection details	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
collector	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
collected[x]	Σ	1..1	dateTime, Period	Collection time	SΣ	1..1	dateTime, Period	(NHSN-MS)(QI-Core)(USCDI) Time when specimen was collected	Elements differ in definition for mustSupport: 'false' vs 'true'
duration	Σ	0..1	Duration	How long it took to collect specimen	Σ	0..1	Duration	How long it took to collect specimen
quantity		0..1	??	The quantity of specimen collected		0..1	??	The quantity of specimen collected
method		0..1	CodeableConcept	Technique used to perform collection Binding: ?? (example): The technique that is used to perform the procedure.		0..1	CodeableConcept	Technique used to perform collection Binding: ?? (example): The technique that is used to perform the procedure.
bodySite		1..1	CodeableConcept	Anatomical collection site Binding: ?? (extensible)	S	1..1	CodeableConcept	(NHSN-MS)(QI-Core)(USCDI) Anatomical site from which the specimen was collected Binding: ?? (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true'
fastingStatus[x]	Σ	0..1	CodeableConcept, Duration	Whether or how long patient abstained from food and/or drink Binding: ?? (extensible): Codes describing the fasting status of the patient.	Σ	0..1	CodeableConcept, Duration	Whether or how long patient abstained from food and/or drink Binding: ?? (extensible): Codes describing the fasting status of the patient.
processing		0..*	BackboneElement	Processing and processing step details		0..*	BackboneElement	Processing and processing step details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
description		0..1	string	Textual description of procedure		0..1	string	Textual description of procedure
procedure		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: ?? (example): Type indicating the technique used to process the specimen.		0..1	CodeableConcept	Indicates the treatment step applied to the specimen Binding: ?? (example): Type indicating the technique used to process the specimen.
additive		0..*	Reference(Substance)	Material used in the processing step		0..*	Reference(Substance)	Material used in the processing step
time[x]		0..1	dateTime, Period	Date and time of specimen processing		0..1	dateTime, Period	Date and time of specimen processing
container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier	Σ	0..*	Identifier	Id for the container	Σ	0..*	Identifier	Id for the container
description		0..1	string	Textual description of the container		0..1	string	Textual description of the container
type		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: ?? (example): Type of specimen container.		0..1	CodeableConcept	Kind of container directly associated with specimen Binding: ?? (example): Type of specimen container.
capacity		0..1	??	Container volume or size		0..1	??	Container volume or size
specimenQuantity		0..1	??	Quantity of specimen within container		0..1	??	Quantity of specimen within container
additive[x]		0..1	CodeableConcept, Reference(Substance)	Additive associated with container Binding: ?? (example): Substance added to specimen container.		0..1	CodeableConcept, Reference(Substance)	Additive associated with container Binding: ?? (example): Substance added to specimen container.
condition	Σ	0..*	CodeableConcept	State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen.	Σ	0..*	CodeableConcept	State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen.
note		0..*	Annotation	Comments		0..*	Annotation	Comments
Documentation for this format