## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen

Left: | US Core Specimen Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen)
Right: | US Core Specimen Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen)

### Messages

Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '8.0.1'
Information | StructureDefinition.date | Values for date differ: '2022-09-27' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'A sample to be used for analysis.'
Information | Specimen.language | Example/preferred bindings differ at Specimen.language using binding from USCoreSpecimenProfile
Information | StructureDefinition.short | Values for short differ: 'External Identifier' vs 'Specimen identifier'
Warning | Specimen.identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Specimen.accessionIdentifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Kind of material that forms the specimen' vs 'Kind of material that forms the specimen'
Information | StructureDefinition.short | Values for short differ: '(USCDI) The patient where the specimen came from.' vs 'The patient where the specimen came from.'
Information | StructureDefinition.short | Values for short differ: 'Collection details' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection details'
Information | StructureDefinition.short | Values for short differ: 'Anatomical collection site' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site'
Information | StructureDefinition.comment | Values for comment differ: 'If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).' vs 'Body location from where a specimen was obtained. Examples include but are not limited to right internal jugular, left arm, and right eye.'
Information | StructureDefinition.short | Values for short differ: 'State of the specimen' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Specimen |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
date | 2022-09-27 | 2023-10-17 | Values Differ
description | This profile sets minimum expectations for the Specimen resource to record, search, and fetch "substances being sampled or tested. (e.g., nasopharyngeal swab, whole blood, serum, urine, wound swab)" associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases. | The US Core Specimen Profile inherits from the FHIR [Specimen](https://hl7.org/fhir/R4/specimen.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Specimen resource to record, search, and fetch information about substances associated with a patient being sampled or tested (such as nasopharyngeal swab, whole blood, or serum). It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreSpecimenProfile |
publisher | HL7 International - Cross-Group Projects | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Specimen Profile |
type | Specimen |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen |
version | 6.1.0 | 8.0.1 | Values Differ

### 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..* | Specimen | Sample for analysis |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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 USCoreSpecimenProfile
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 | Σ | 0..* | Identifier | External Identifier | S Σ | 0..* | Identifier | Specimen identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | S Σ | 0..1 | Identifier | Identifier assigned by the lab | Elements differ in definition for mustSupport: 'false' vs 'true'
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen. | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen. |
type | S Σ | 1..1 | CodeableConcept | (USCDI) Kind of material that forms the specimen Binding: ?? (extensible) | S Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: ?? (extensible) |
subject | S Σ | 0..1 | Reference(US Core Patient Profile) | (USCDI) The patient where the specimen came from. | S Σ | 0..1 | Reference(US Core Patient Profile S | Group | Device | Substance | US Core Location Profile) | The patient where the specimen came from. |
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 |  | 0..1 | BackboneElement | Collection details |  | 0..1 | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection 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 |
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen |
collected[x] | Σ | 0..1 | dateTime, Period | Collection time | Σ | 0..1 | dateTime, Period | Collection time |
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 |  | 0..1 | CodeableConcept | Anatomical collection site Binding: ?? (example): Codes describing anatomical locations. May include laterality. |  | 0..1 | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: ?? (extensible) |
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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition Binding: ?? (extensible) |
note |  | 0..* | Annotation | Comments |  | 0..* | Annotation | Comments |
Documentation for this format