## Union of http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid and http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid

This is the set of resources that conform to either of the profiles Specimen - At-Home In-Vitro Test - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid) and Specimen - At-Home In-Vitro Test - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Specimen-at-home-in-vitro-test-covid). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Specimen |  | 0..* |  | left: The specimen used in a COVID-19 at-home lab test.; right: Sample for analysis dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | S Σ | 0..* | Identifier | left: System-generated identifier for this Specimen.; right: At-Home Test Specimen identifier. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type | Σ | 0..1 | CodeableConcept | At-Home Test Specimen ID assigner ID type. 'ISO' V2: SPM-2.2.4 Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system | Σ | 0..1 | uri | At-Home Specimen ID assigner ID type . See 'Obtaining App Specific Identifiers' (see Guidance->Getting Started for details). If converting FHIR to V2, must be 100 characters or less. V2: SPM-2.2.3 ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value | Σ | 0..1 | string | At-Home Test Specimen identifier. {Unique ID assigned to every test by app manufacturer} If converting FHIR to V2, must be 100 characters or less. V2: SPM-2.2.1 ele-1: All FHIR elements must have a @value or children Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen. ele-1: All FHIR elements must have a @value or children
type | S Σ | 1..1 | CodeableConcept | left: Type of tissue or material (consult [LIVD] to obtain the values to be used for each particular use case); right: Type of tissue or material. Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for the COVID-19 use case. Binding: ?? (extensible): The type of the specimen. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding | S Σ | 1..* | Coding | The coded specimen type. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system | S Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children
version | Σ | 0..1 | string | Version of the system - if relevant ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display | Σ | 0..1 | string | Representation defined by the system ele-1: All FHIR elements must have a @value or children
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user ele-1: All FHIR elements must have a @value or children
text | S Σ | 0..1 | string | left: The specimen text description.; right: Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient) | The subject is the person who took the at-home test. ele-1: All FHIR elements must have a @value or children
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing ele-1: All FHIR elements must have a @value or children
parent |  | 0..* | Reference(Specimen) | Specimen from which this specimen originated ele-1: All FHIR elements must have a @value or children
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected ele-1: All FHIR elements must have a @value or children
collection | S | 1..1 | BackboneElement | Collection details ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen ele-1: All FHIR elements must have a @value or children
collected[x] | S Σ | 1..1 | dateTime | left: Collection time; right: At-Home Test Specimen collected date. V2: SPM-17.1 ele-1: All FHIR elements must have a @value or children
duration | Σ | 0..1 | Duration | How long it took to collect specimen ele-1: All FHIR elements must have a @value or children
quantity |  | 0..1 | ?? | The quantity of specimen collected ele-1: All FHIR elements must have a @value or children
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: ?? (example): The technique that is used to perform the procedure. ele-1: All FHIR elements must have a @value or children
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: ?? (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
fastingStatus[x] | Σ | 0..1 |  | Whether or how long patient abstained from food and/or drink Binding: ?? (extensible): Codes describing the fasting status of the patient. ele-1: All FHIR elements must have a @value or children
fastingStatusCodeableConcept |  |  | CodeableConcept |
fastingStatusDuration |  |  | Duration |
processing |  | 0..* | BackboneElement | Processing and processing step details ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
description |  | 0..1 | string | Textual description of procedure ele-1: All FHIR elements must have a @value or children
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: ?? (example): Type indicating the technique used to process the specimen. ele-1: All FHIR elements must have a @value or children
additive |  | 0..* | Reference(Substance) | Material used in the processing step ele-1: All FHIR elements must have a @value or children
time[x] |  | 0..1 |  | Date and time of specimen processing ele-1: All FHIR elements must have a @value or children
timeDateTime |  |  | dateTime |
timePeriod |  |  | Period |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 0..* | Identifier | Id for the container ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | Textual description of the container ele-1: All FHIR elements must have a @value or children
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: ?? (example): Type of specimen container. ele-1: All FHIR elements must have a @value or children
capacity |  | 0..1 | ?? | Container volume or size ele-1: All FHIR elements must have a @value or children
specimenQuantity |  | 0..1 | ?? | Quantity of specimen within container ele-1: All FHIR elements must have a @value or children
additive[x] |  | 0..1 |  | Additive associated with container Binding: ?? (example): Substance added to specimen container. ele-1: All FHIR elements must have a @value or children
additiveCodeableConcept |  |  | CodeableConcept |
additiveReference |  |  | Reference(Substance) |
condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen. ele-1: All FHIR elements must have a @value or children
note |  | 0..* | Annotation | Comments ele-1: All FHIR elements must have a @value or children
Documentation for this format