Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-specimen-core-1 | Version: 0.1.5 | |||
| Draft as of 2024-09-12 | Computable Name: ADHASpecimenCore | |||
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. |
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The purpose of this profile is to provide a core representation of a specimen for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile supports information about a collected specimen taken from a patient for diagnostic investigation.
This profile identifies the additional constraints, extensions, and value sets that build on and extend Specimen that are supported.
This profile is designed to set a core Specimen standard for:
This profile may be referred to by APIs, which will be listed here when available.
None.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseSpecimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type |
  identifier |
SC | 0..* | Identifier | External Identifier |
| accessionIdentifier |
SC | 0..1 | Identifier | Identifier assigned by the lab |
| type |
SC | 0..1 | CodeableConcept | Kind of material that forms the specimen |
 subject |
SC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present |
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected |
 collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier |
 collector |
SC | 0..1 | Reference(ADHA Core PractitionerRole) | Who collected the specimen |
| collected[x] |
S | 1..1 | dateTime, Period | Collection time |
| method |
SC | 0..1 | CodeableConcept | Technique used to perform collection |
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site  (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT |
 fastingStatus[x] |
S | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣC | 0..* | Identifier | External Identifier |
| accessionIdentifier |
SΣC | 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 |
SΣC | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Type (preferred) |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present |
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected |
| collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| collector |
SΣC | 0..1 | Reference(ADHA Core PractitionerRole) | Who collected the specimen |
  collected[x] |
SΣ | 1..1 | Collection time | |
 collectedDateTime |
dateTime | |||
| collectedPeriod |
Period | |||
| method |
SC | 0..1 | CodeableConcept | Technique used to perform collection Binding: Specimen Collection Procedure (preferred) |
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT |
| fastingStatus[x] |
SΣ | 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 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Specimen.status | required | SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | |
| Specimen.type | preferred | SpecimenType https://healthterminologies.gov.au/fhir/ValueSet/specimen-type-1 | |
| Specimen.collection.method | preferred | SpecimenCollectionProcedure https://healthterminologies.gov.au/fhir/ValueSet/specimen-collection-procedure-1 | |
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | |
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformationhttp://terminology.hl7.org/ValueSet/v2-0916 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type | ||||
| 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
SΣC | 0..* | Identifier | External Identifier | ||||
| accessionIdentifier |
SΣC | 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 |
SΣC | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Type (preferred) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present | ||||
| receivedTime |
Σ | 0..1 | dateTime | The time when specimen was received for processing | ||||
| parent |
0..* | Reference(AU Base Specimen) | Specimen from which this specimen originated | |||||
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected | ||||
| collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier | ||||
| 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 |
SΣC | 0..1 | Reference(ADHA Core 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 |
SC | 0..1 | CodeableConcept | Technique used to perform collection Binding: Specimen Collection Procedure (preferred) | ||||
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT | ||||
| fastingStatus[x] |
SΣ | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Specimen.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Specimen.status | required | SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | ||||
| Specimen.type | preferred | SpecimenType https://healthterminologies.gov.au/fhir/ValueSet/specimen-type-1 | ||||
| Specimen.collection.method | preferred | SpecimenCollectionProcedure https://healthterminologies.gov.au/fhir/ValueSet/specimen-collection-procedure-1 | ||||
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformationhttp://terminology.hl7.org/ValueSet/v2-0916 | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedurehttp://hl7.org/fhir/ValueSet/specimen-processing-procedurefrom the FHIR Standard | ||||
| Specimen.container.type | example | SpecimenContainerTypehttp://hl7.org/fhir/ValueSet/specimen-container-typefrom the FHIR Standard | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservativehttp://terminology.hl7.org/ValueSet/v2-0371 | ||||
| Specimen.condition | extensible | Hl7VSSpecimenConditionhttp://terminology.hl7.org/ValueSet/v2-0493 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
This structure is derived from AUBaseSpecimen
Summary
Mandatory: 3 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from AUBaseSpecimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type |
| identifier |
SC | 0..* | Identifier | External Identifier |
| accessionIdentifier |
SC | 0..1 | Identifier | Identifier assigned by the lab |
| type |
SC | 0..1 | CodeableConcept | Kind of material that forms the specimen |
| subject |
SC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present |
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected |
| collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier |
| collector |
SC | 0..1 | Reference(ADHA Core PractitionerRole) | Who collected the specimen |
| collected[x] |
S | 1..1 | dateTime, Period | Collection time |
| method |
SC | 0..1 | CodeableConcept | Technique used to perform collection |
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT |
| fastingStatus[x] |
S | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣC | 0..* | Identifier | External Identifier |
| accessionIdentifier |
SΣC | 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 |
SΣC | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Type (preferred) |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present |
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected |
| collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| collector |
SΣC | 0..1 | Reference(ADHA Core PractitionerRole) | Who collected the specimen |
| collected[x] |
SΣ | 1..1 | Collection time | |
| collectedDateTime |
dateTime | |||
| collectedPeriod |
Period | |||
| method |
SC | 0..1 | CodeableConcept | Technique used to perform collection Binding: Specimen Collection Procedure (preferred) |
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT |
| fastingStatus[x] |
SΣ | 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 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Specimen.status | required | SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | |
| Specimen.type | preferred | SpecimenType https://healthterminologies.gov.au/fhir/ValueSet/specimen-type-1 | |
| Specimen.collection.method | preferred | SpecimenCollectionProcedure https://healthterminologies.gov.au/fhir/ValueSet/specimen-collection-procedure-1 | |
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | |
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformationhttp://terminology.hl7.org/ValueSet/v2-0916 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen |
C | 0..* | AUBaseSpecimen | A specimen collected from a patient for the purposes of a diagnostic investigation inv-dh-spc-04: The specimen shall at least have a valid identifier or method or type | ||||
| 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 |
SΣC | 0..* | Identifier | External Identifier | ||||
| accessionIdentifier |
SΣC | 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 |
SΣC | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Type (preferred) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | 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 inv-dh-spc-01: At least reference or a valid identifier shall be present | ||||
| receivedTime |
Σ | 0..1 | dateTime | The time when specimen was received for processing | ||||
| parent |
0..* | Reference(AU Base Specimen) | Specimen from which this specimen originated | |||||
| request |
S | 0..* | Reference(ADHA Core ServiceRequest) | Why the specimen was collected | ||||
| collection |
SC | 1..1 | BackboneElement | Collection details inv-dh-spc-02: If present, the collector shall at least have a reference or a valid identifier | ||||
| 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 |
SΣC | 0..1 | Reference(ADHA Core 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 |
SC | 0..1 | CodeableConcept | Technique used to perform collection Binding: Specimen Collection Procedure (preferred) | ||||
| bodySite |
SC | 0..1 | CodeableConcept | Anatomical collection site Binding: Body Site (extensible)inv-dh-spc-03: If a coded body site is provided, at least one code shall be from SNOMED CT | ||||
| fastingStatus[x] |
SΣ | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Specimen.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Specimen.status | required | SpecimenStatushttp://hl7.org/fhir/ValueSet/specimen-status|4.0.1from the FHIR Standard | ||||
| Specimen.type | preferred | SpecimenType https://healthterminologies.gov.au/fhir/ValueSet/specimen-type-1 | ||||
| Specimen.collection.method | preferred | SpecimenCollectionProcedure https://healthterminologies.gov.au/fhir/ValueSet/specimen-collection-procedure-1 | ||||
| Specimen.collection.bodySite | extensible | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformationhttp://terminology.hl7.org/ValueSet/v2-0916 | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedurehttp://hl7.org/fhir/ValueSet/specimen-processing-procedurefrom the FHIR Standard | ||||
| Specimen.container.type | example | SpecimenContainerTypehttp://hl7.org/fhir/ValueSet/specimen-container-typefrom the FHIR Standard | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservativehttp://terminology.hl7.org/ValueSet/v2-0371 | ||||
| Specimen.condition | extensible | Hl7VSSpecimenConditionhttp://terminology.hl7.org/ValueSet/v2-0493 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-spc-01 | error | Specimen.subject | At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-02 | error | Specimen.collection | If present, the collector shall at least have a reference or a valid identifier : collector.exists() implies collector.reference.exists() or collector.identifier.where(system.count() + value.count() >1).exists() | |
| inv-dh-spc-03 | error | Specimen.collection.bodySite | If a coded body site is provided, at least one code shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists() | |
| inv-dh-spc-04 | error | Specimen | The specimen shall at least have a valid identifier or method or type : type.exists() or collection.method.exists() or identifier.where(system.count() + value.count() >1).exists() or accessionIdentifier.where(system.count() + value.count() >1).exists() |
This structure is derived from AUBaseSpecimen
Summary
Mandatory: 3 elements
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-09-12
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