minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0 - STU3 Release
minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0 - STU3 Release
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-human-specimen | Version: 3.0.0 | |||
| Draft as of 2023-10-25 | Maturity Level: 1 | Computable Name: HumanSpecimen | ||
A specimen taken from a Patient for the purpose of oncology-related testing. The profile includes extensions to specify a more precise body site and an identifier of source body structure at that site (for example, a tumor identifier).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Specimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Specimen | Specimen | |||
  Slices for identifier | S | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type |
   identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. |
   type | S | 0..1 | CodeableConcept | Description of identifier |
 value | S | 1..1 | string | The value that is unique |
 status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error |
| type | S | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) |
 subject | S | 0..1 | Reference(Cancer Patient Profile) | 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 |
 collection | S | 0..1 | BackboneElement | Collection details |
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site |
 extension | S | 0..* | Extension | Extension |
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
 lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.type | extensible | HumanSpecimenTypeVS |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample 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 |
| Slices for identifier | SΣ | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type |
| identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual |
  type | SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/resource-types | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: BodyStructure | |
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!SΣ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. |
| type | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) |
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 |
| collection | S | 0..1 | BackboneElement | Collection details |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
| lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Specimen.identifier:bodyStructureIdentifier.use | required | Pattern: usual |
| Specimen.identifier:bodyStructureIdentifier.type | extensible | Pattern: BodyStructure |
| Specimen.status | required | SpecimenStatus |
| Specimen.type | extensible | HumanSpecimenTypeVS |
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample 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 | ||||
| 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 | ||||
| Slices for identifier | SΣ | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type | ||||
| identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual | ||||
| type | SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/resource-types | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: BodyStructure | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | ||||
| status | ?!SΣ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. | ||||
| type | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) | ||||
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | ||||
| receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing | ||||
| parent | 0..* | Reference(Specimen) | 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] | Σ | 0..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 | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure. | |||||
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) | ||||
| lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | ||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| 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 | 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 / Code | ||||
| Specimen.language | preferred | CommonLanguages
| ||||
| Specimen.identifier:bodyStructureIdentifier.use | required | Pattern: usual | ||||
| Specimen.identifier:bodyStructureIdentifier.type | extensible | Pattern: BodyStructure | ||||
| Specimen.status | required | SpecimenStatus | ||||
| Specimen.type | extensible | HumanSpecimenTypeVS | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure | ||||
| Specimen.container.type | example | SpecimenContainerType | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition |
This structure is derived from Specimen
Summary
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Differential View
This structure is derived from Specimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | Specimen | |||
| Slices for identifier | S | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type |
| identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. |
| type | S | 0..1 | CodeableConcept | Description of identifier |
| value | S | 1..1 | string | The value that is unique |
| status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error |
| type | S | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) |
| subject | S | 0..1 | Reference(Cancer Patient Profile) | 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 |
| collection | S | 0..1 | BackboneElement | Collection details |
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site |
| extension | S | 0..* | Extension | Extension |
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
| lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.type | extensible | HumanSpecimenTypeVS |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample 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 |
| Slices for identifier | SΣ | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type |
| identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual |
| type | SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/resource-types | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: BodyStructure | |
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 |
| status | ?!SΣ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. |
| type | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) |
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 |
| collection | S | 0..1 | BackboneElement | Collection details |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) |
| lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Specimen.identifier:bodyStructureIdentifier.use | required | Pattern: usual |
| Specimen.identifier:bodyStructureIdentifier.type | extensible | Pattern: BodyStructure |
| Specimen.status | required | SpecimenStatus |
| Specimen.type | extensible | HumanSpecimenTypeVS |
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample 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 | ||||
| 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 | ||||
| Slices for identifier | SΣ | 0..* | Identifier | External Identifier Slice: Unordered, Open by pattern:type | ||||
| identifier:bodyStructureIdentifier | S | 0..* | BodyStructureIdentifier | An identifier associating the specimen with a identified body structure, such as a tumor with a tumor identifier. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual | ||||
| type | SΣ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/resource-types | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: BodyStructure | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | ||||
| status | ?!SΣ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. | ||||
| type | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Human Specimen Type Value Set (extensible) | ||||
| subject | SΣ | 0..1 | Reference(Cancer Patient Profile) | 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 | ||||
| receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing | ||||
| parent | 0..* | Reference(Specimen) | 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] | Σ | 0..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 | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure. | |||||
| bodySite | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| locationQualifier | S | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) | ||||
| lateralityQualifier | S | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) | ||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| 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 | 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 / Code | ||||
| Specimen.language | preferred | CommonLanguages
| ||||
| Specimen.identifier:bodyStructureIdentifier.use | required | Pattern: usual | ||||
| Specimen.identifier:bodyStructureIdentifier.type | extensible | Pattern: BodyStructure | ||||
| Specimen.status | required | SpecimenStatus | ||||
| Specimen.type | extensible | HumanSpecimenTypeVS | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure | ||||
| Specimen.container.type | example | SpecimenContainerType | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition |
This structure is derived from Specimen
Summary
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.us.mcode#3.0.0 based on FHIR 4.0.1. Generated 2023-10-25
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