Medicolegal Death Investigation (MDI) FHIR Implementation Guide
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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 2024-10-07 Computable Name: SpecimenToxicologyLab
Other Identifiers: OID:2.16.840.1.113883.4.642.40.11.42.25

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:

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(5.0.1)) 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(5.0.1)) 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(5.0.1)) 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(5.0.1)) 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