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

Messages

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		Removed the item '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 / 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	10.0.0-ballot	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
Specimen.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Specimen.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Specimen.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Specimen.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
Specimen.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
Specimen.contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Specimen.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Specimen.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Specimen.identifier	Σ This element is included in summaries.	0..*	Identifier	External Identifier	S This element must be supported. Σ This element is included in summaries.	0..*	Identifier	Specimen identifier	Elements differ in definition for mustSupport: 'false' vs 'true'
Specimen.accessionIdentifier	Σ This element is included in summaries.	0..1	Identifier	Identifier assigned by the lab	S This element must be supported. Σ This element is included in summaries.	0..1	Identifier	Identifier assigned by the lab	Elements differ in definition for mustSupport: 'false' vs 'true'
Specimen.status	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen.	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen.
Specimen.type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(USCDI) Kind of material that forms the specimen Binding: ?? (extensible)	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Kind of material that forms the specimen Binding: ?? (extensible)
Specimen.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Patient Profile)	(USCDI) The patient where the specimen came from.	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Patient Profile S This type must be supported. | Group | US Core Device Profile | Substance | US Core Location Profile)	The patient where the specimen came from.
Specimen.receivedTime	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing	Σ This element is included in summaries.	0..1	dateTime	The time when specimen was received for processing
Specimen.parent		0..*	Reference(Specimen)	Specimen from which this specimen originated		0..*	Reference(Specimen)	Specimen from which this specimen originated
Specimen.request		0..*	Reference(ServiceRequest)	Why the specimen was collected		0..*	Reference(ServiceRequest)	Why the specimen was collected
Specimen.collection		0..1	BackboneElement	Collection details		0..1	BackboneElement	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection details
Specimen.collection.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Specimen.collection.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Specimen.collection.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.collection.collector	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole)	Who collected the specimen
Specimen.collection.collected[x]	Σ This element is included in summaries.	0..1	dateTime, Period	Collection time	Σ This element is included in summaries.	0..1	dateTime, Period	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Time when specimen was collected from subject - the physiologically relevant time.
Specimen.collection.duration	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen	Σ This element is included in summaries.	0..1	Duration	How long it took to collect specimen
Specimen.collection.quantity	C	0..1	??	The quantity of specimen collected	C	0..1	??	The quantity of specimen collected
Specimen.collection.method		0..1	CodeableConcept	Technique used to perform collection Binding: ?? (example): The technique that is used to perform the procedure.		0..1	CodeableConcept	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Collection Method Binding: ?? (preferred)	Example/preferred bindings differ at Specimen.collection.method using binding from USCoreSpecimenProfile
Specimen.collection.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)
Specimen.collection.fastingStatus[x]	Σ This element is included in summaries.	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 This element is included in summaries.	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.
Specimen.processing		0..*	BackboneElement	Processing and processing step details		0..*	BackboneElement	Processing and processing step details
Specimen.processing.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Specimen.processing.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Specimen.processing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.processing.description		0..1	string	Textual description of procedure		0..1	string	Textual description of procedure
Specimen.processing.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.
Specimen.processing.additive		0..*	Reference(Substance)	Material used in the processing step		0..*	Reference(Substance)	Material used in the processing step
Specimen.processing.time[x]		0..1	dateTime, Period	Date and time of specimen processing		0..1	dateTime, Period	Date and time of specimen processing
Specimen.container		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)		0..*	BackboneElement	Direct container of specimen (tube/slide, etc.)
Specimen.container.id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Specimen.container.extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
Specimen.container.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Specimen.container.identifier	Σ This element is included in summaries.	0..*	Identifier	Id for the container	Σ This element is included in summaries.	0..*	Identifier	Id for the container
Specimen.container.description		0..1	string	Textual description of the container		0..1	string	Textual description of the container
Specimen.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.
Specimen.container.capacity	C	0..1	??	Container volume or size	C	0..1	??	Container volume or size
Specimen.container.specimenQuantity	C	0..1	??	Quantity of specimen within container	C	0..1	??	Quantity of specimen within container
Specimen.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.
Specimen.condition	Σ This element is included in summaries.	0..*	CodeableConcept	State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen.	Σ This element is included in summaries.	0..*	CodeableConcept	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition Binding: ?? (extensible)
Specimen.note		0..*	Annotation	Comments		0..*	Annotation	Comments
Documentation for this format