Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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Vital Records Medicolegal Death Investigation (MDI) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mdi-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Specimen - Toxicology Lab

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab Version: 2.0.0-cibuild
Active as of 2024-04-08 Computable Name: SpecimenToxicologyLab
Other Identifiers: OID:2.16.840.1.113883.4.642.40.11.42.10

This Specimen profile identifies and describes the specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis. For specimens received but not analyzed, the laboratory should provide a reason for no analysis in the DiagnosticReport.conclusion and/or each unanalyzed specimen’s Specimen - Toxicology Lab Specimen.note. The laboratory may use the Specimen.condition to describe the state of the specimen via codes from the extensible value set hl7VS-specimenCondition and/or use the Specimen.note to describe details or issues about the specimen.

Usage:

Changes since version true:

  • No changes

    • Formal Views of Profile Content

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

    This structure is derived from Specimen

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... identifier S 0..* Identifier System-generated identifier for this Specimen.
    ... accessionIdentifier S 0..1 Identifier Identifier assigned by the lab
    ... type S 1..1 CodeableConcept Type of tissue or material
    .... coding S 0..* Coding Code defined by a terminology system
    .... text S 1..1 string Plain text representation of the concept
    ... receivedTime S 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... collection S 0..1 BackboneElement Collection details
    .... collected[x] S 0..1 dateTime, Period Time collected from either the body or the scene
    ... processing S 0..* BackboneElement Processing and processing step details
    .... time[x] S 0..1 dateTime, Period Date and time of specimen processing
    ... container
    .... identifier S 0..* Identifier Id for the container
    .... description 1..1 string Textual description of the container
    .... additive[x] S 0..1 CodeableConcept, Reference(Substance) Additive associated with container
    ... condition S 0..* CodeableConcept State of the specimen
    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 0..* Identifier System-generated identifier for this Specimen.
    ... status ?!Σ 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 Type of tissue or material
    Binding: hl7VS-specimenType (example): The type of the specimen.

    .... coding SΣ 0..* Coding Code defined by a terminology system
    .... text SΣ 1..1 string Plain text representation of the concept
    ... subject SΣ 0..1 Reference(US Core Patient Profile) The subject is the decedent.
    ... receivedTime SΣ 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... collection S 0..1 BackboneElement Collection details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collected[x] SΣ 0..1 Time collected from either the body or the scene
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    ... processing S 0..* BackboneElement Processing and processing step details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... time[x] S 0..1 Date and time of specimen processing
    ..... timeDateTime dateTime
    ..... timePeriod Period
    ... container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... identifier SΣ 0..* Identifier Id for the container
    .... description 1..1 string Textual description of the container
    .... additive[x] S 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition SΣ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Specimen.statusrequiredSpecimenStatus
    http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
    from the FHIR Standard
    Specimen.typeexampleHl7VSSpecimenType
    http://terminology.hl7.org/ValueSet/v2-0487
    Specimen.container.additive[x]exampleHl7VSAdditivePreservative
    http://terminology.hl7.org/ValueSet/v2-0371
    Specimen.conditionextensibleHl7VSSpecimenCondition
    http://terminology.hl7.org/ValueSet/v2-0493
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... 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
    ... 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 System-generated identifier for this Specimen.
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!Σ 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 Type of tissue or material
    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
    .... coding SΣ 0..* Coding Code defined by a terminology system
    .... text SΣ 1..1 string Plain text representation of the concept
    ... subject SΣ 0..1 Reference(US Core Patient Profile) The subject is the decedent.
    ... receivedTime SΣ 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... request 0..* Reference(ServiceRequest) Why the specimen was collected
    ... collection S 0..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 0..1 Time collected from either the body or the scene
    ..... 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 0..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

    .... 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 S 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] S 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 SΣ 0..* Identifier Id for the container
    .... description 1..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] S 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition SΣ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Specimen.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Specimen.statusrequiredSpecimenStatus
    http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
    from the FHIR Standard
    Specimen.typeexampleHl7VSSpecimenType
    http://terminology.hl7.org/ValueSet/v2-0487
    Specimen.collection.methodexampleFHIRSpecimenCollectionMethod
    http://hl7.org/fhir/ValueSet/specimen-collection-method
    from the FHIR Standard
    Specimen.collection.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Specimen.collection.fastingStatus[x]extensibleHl7VSRelevantClincialInformation
    http://terminology.hl7.org/ValueSet/v2-0916
    Specimen.processing.procedureexampleSpecimenProcessingProcedure
    http://hl7.org/fhir/ValueSet/specimen-processing-procedure
    from the FHIR Standard
    Specimen.container.typeexampleSpecimenContainerType
    http://hl7.org/fhir/ValueSet/specimen-container-type
    from the FHIR Standard
    Specimen.container.additive[x]exampleHl7VSAdditivePreservative
    http://terminology.hl7.org/ValueSet/v2-0371
    Specimen.conditionextensibleHl7VSSpecimenCondition
    http://terminology.hl7.org/ValueSet/v2-0493

    This structure is derived from Specimen

    Summary

    Mandatory: 2 elements(1 nested mandatory element)
    Must-Support: 16 elements

    Structures

    This structure refers to these other structures:

    Differential View

    This structure is derived from Specimen

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... identifier S 0..* Identifier System-generated identifier for this Specimen.
    ... accessionIdentifier S 0..1 Identifier Identifier assigned by the lab
    ... type S 1..1 CodeableConcept Type of tissue or material
    .... coding S 0..* Coding Code defined by a terminology system
    .... text S 1..1 string Plain text representation of the concept
    ... receivedTime S 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... collection S 0..1 BackboneElement Collection details
    .... collected[x] S 0..1 dateTime, Period Time collected from either the body or the scene
    ... processing S 0..* BackboneElement Processing and processing step details
    .... time[x] S 0..1 dateTime, Period Date and time of specimen processing
    ... container
    .... identifier S 0..* Identifier Id for the container
    .... description 1..1 string Textual description of the container
    .... additive[x] S 0..1 CodeableConcept, Reference(Substance) Additive associated with container
    ... condition S 0..* CodeableConcept State of the specimen
    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier SΣ 0..* Identifier System-generated identifier for this Specimen.
    ... status ?!Σ 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 Type of tissue or material
    Binding: hl7VS-specimenType (example): The type of the specimen.

    .... coding SΣ 0..* Coding Code defined by a terminology system
    .... text SΣ 1..1 string Plain text representation of the concept
    ... subject SΣ 0..1 Reference(US Core Patient Profile) The subject is the decedent.
    ... receivedTime SΣ 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... collection S 0..1 BackboneElement Collection details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... collected[x] SΣ 0..1 Time collected from either the body or the scene
    ..... collectedDateTime dateTime
    ..... collectedPeriod Period
    ... processing S 0..* BackboneElement Processing and processing step details
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... time[x] S 0..1 Date and time of specimen processing
    ..... timeDateTime dateTime
    ..... timePeriod Period
    ... container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... identifier SΣ 0..* Identifier Id for the container
    .... description 1..1 string Textual description of the container
    .... additive[x] S 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition SΣ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Specimen.statusrequiredSpecimenStatus
    http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
    from the FHIR Standard
    Specimen.typeexampleHl7VSSpecimenType
    http://terminology.hl7.org/ValueSet/v2-0487
    Specimen.container.additive[x]exampleHl7VSAdditivePreservative
    http://terminology.hl7.org/ValueSet/v2-0371
    Specimen.conditionextensibleHl7VSSpecimenCondition
    http://terminology.hl7.org/ValueSet/v2-0493

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Specimen 0..* Specimen The specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... 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
    ... 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 System-generated identifier for this Specimen.
    ... accessionIdentifier SΣ 0..1 Identifier Identifier assigned by the lab
    ... status ?!Σ 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 Type of tissue or material
    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
    .... coding SΣ 0..* Coding Code defined by a terminology system
    .... text SΣ 1..1 string Plain text representation of the concept
    ... subject SΣ 0..1 Reference(US Core Patient Profile) The subject is the decedent.
    ... receivedTime SΣ 0..1 dateTime Time when specimen was received by the forensic toxicology lab for processing
    ... parent S 0..* Reference(Specimen - Toxicology Lab) Specimen from which this specimen originated
    ... request 0..* Reference(ServiceRequest) Why the specimen was collected
    ... collection S 0..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 0..1 Time collected from either the body or the scene
    ..... 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 0..1 CodeableConcept Anatomical collection site
    Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

    .... 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 S 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] S 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 SΣ 0..* Identifier Id for the container
    .... description 1..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] S 0..1 Additive associated with container
    Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

    ..... additiveCodeableConcept CodeableConcept
    ..... additiveReference Reference(Substance)
    ... condition SΣ 0..* CodeableConcept State of the specimen
    Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


    ... note S 0..* Annotation Details or issues about the specimen or reason for no analysis

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Specimen.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Specimen.statusrequiredSpecimenStatus
    http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
    from the FHIR Standard
    Specimen.typeexampleHl7VSSpecimenType
    http://terminology.hl7.org/ValueSet/v2-0487
    Specimen.collection.methodexampleFHIRSpecimenCollectionMethod
    http://hl7.org/fhir/ValueSet/specimen-collection-method
    from the FHIR Standard
    Specimen.collection.bodySiteexampleSNOMEDCTBodyStructures
    http://hl7.org/fhir/ValueSet/body-site
    from the FHIR Standard
    Specimen.collection.fastingStatus[x]extensibleHl7VSRelevantClincialInformation
    http://terminology.hl7.org/ValueSet/v2-0916
    Specimen.processing.procedureexampleSpecimenProcessingProcedure
    http://hl7.org/fhir/ValueSet/specimen-processing-procedure
    from the FHIR Standard
    Specimen.container.typeexampleSpecimenContainerType
    http://hl7.org/fhir/ValueSet/specimen-container-type
    from the FHIR Standard
    Specimen.container.additive[x]exampleHl7VSAdditivePreservative
    http://terminology.hl7.org/ValueSet/v2-0371
    Specimen.conditionextensibleHl7VSSpecimenCondition
    http://terminology.hl7.org/ValueSet/v2-0493

    This structure is derived from Specimen

    Summary

    Mandatory: 2 elements(1 nested mandatory element)
    Must-Support: 16 elements

    Structures

    This structure refers to these other structures:

     

    Other representations of profile: CSV, Excel, Schematron