Medicolegal Death Investigation (MDI)
1.0.0-ballot - STU 1 Ballot US

This page is part of the Medicolegal Death Investigation (MDI) (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Specimen - Toxicology Lab

Official URL: http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab Version: 1.0.0-ballot
Active as of 2022-03-28 Computable Name: SpecimenToxicologyLab

This Specimen profile identifies and describes the specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Specimen

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

This structure is derived from Specimen

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..*SpecimenThe specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
... identifier S0..*IdentifierSystem-generated identifier for this Specimen.
... accessionIdentifier S0..1IdentifierIdentifier assigned by the lab
... type S1..1CodeableConceptType of tissue or material
.... coding S0..*CodingCode defined by a terminology system
.... text S1..1stringPlain text representation of the concept
... parent S0..*Reference(Specimen - Toxicology Lab)Specimen from which this specimen originated
... container
.... identifier S0..*IdentifierId for the container
.... description 1..1stringTextual description of the container
.... additive[x] S0..1CodeableConcept, Reference(Substance)Additive associated with container
... condition S0..*CodeableConceptState of the specimen
... note S0..*AnnotationDetails or issues about the specimen or reason for no analysis

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..*SpecimenThe specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierSystem-generated identifier for this Specimen.
... accessionIdentifier SΣ0..1IdentifierIdentifier assigned by the lab
... status ?!Σ0..1codeavailable | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

... type SΣ1..1CodeableConceptType of tissue or material
Binding: hl7VS-specimenType (example): The type of the specimen.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
.... text SΣ1..1stringPlain text representation of the concept
... subject SΣ0..1Reference(US Core Patient Profile)The subject is the decedent.
... receivedTime Σ0..1dateTimeThe time when specimen was received for processing
... parent S0..*Reference(Specimen - Toxicology Lab)Specimen from which this specimen originated
... request 0..*Reference(ServiceRequest)Why the specimen was collected
... collection 0..1BackboneElementCollection details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... collector Σ0..1Reference(Practitioner | PractitionerRole)Who collected the specimen
.... collected[x] Σ0..1Collection time
..... collectedDateTimedateTime
..... collectedPeriodPeriod
.... duration Σ0..1DurationHow long it took to collect specimen
.... quantity 0..1SimpleQuantityThe quantity of specimen collected
.... method 0..1CodeableConceptTechnique used to perform collection
Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.

.... bodySite 0..1CodeableConceptAnatomical collection site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

.... fastingStatus[x] Σ0..1Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.

..... fastingStatusCodeableConceptCodeableConcept
..... fastingStatusDurationDuration
... processing 0..*BackboneElementProcessing and processing step details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... description 0..1stringTextual description of procedure
.... procedure 0..1CodeableConceptIndicates 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..1Date and time of specimen processing
..... timeDateTimedateTime
..... timePeriodPeriod
... container 0..*BackboneElementDirect container of specimen (tube/slide, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier SΣ0..*IdentifierId for the container
.... description 1..1stringTextual description of the container
.... type 0..1CodeableConceptKind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.

.... capacity 0..1SimpleQuantityContainer volume or size
.... specimenQuantity 0..1SimpleQuantityQuantity of specimen within container
.... additive[x] S0..1Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

..... additiveCodeableConceptCodeableConcept
..... additiveReferenceReference(Substance)
... condition SΣ0..*CodeableConceptState of the specimen
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


... note S0..*AnnotationDetails or issues about the specimen or reason for no analysis

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..*SpecimenThe specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
... identifier Σ0..*IdentifierSystem-generated identifier for this Specimen.
... accessionIdentifier Σ0..1IdentifierIdentifier assigned by the lab
... type Σ1..1CodeableConceptType of tissue or material
Binding: hl7VS-specimenType (example): The type of the specimen.

.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ1..1stringPlain text representation of the concept
... parent 0..*Reference(Specimen - Toxicology Lab)Specimen from which this specimen originated
... container 0..*BackboneElementDirect container of specimen (tube/slide, etc.)
.... identifier Σ0..*IdentifierId for the container
.... additive[x] 0..1Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

..... additiveCodeableConceptCodeableConcept
..... additiveReferenceReference(Substance)
... condition Σ0..*CodeableConceptState of the specimen
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


... note 0..*AnnotationDetails or issues about the specimen or reason for no analysis

doco Documentation for this format

This structure is derived from Specimen

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Specimen

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..*SpecimenThe specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
... identifier S0..*IdentifierSystem-generated identifier for this Specimen.
... accessionIdentifier S0..1IdentifierIdentifier assigned by the lab
... type S1..1CodeableConceptType of tissue or material
.... coding S0..*CodingCode defined by a terminology system
.... text S1..1stringPlain text representation of the concept
... parent S0..*Reference(Specimen - Toxicology Lab)Specimen from which this specimen originated
... container
.... identifier S0..*IdentifierId for the container
.... description 1..1stringTextual description of the container
.... additive[x] S0..1CodeableConcept, Reference(Substance)Additive associated with container
... condition S0..*CodeableConceptState of the specimen
... note S0..*AnnotationDetails or issues about the specimen or reason for no analysis

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..*SpecimenThe specimen sent by a Medical Examiner, Coroner, or autopsy performer to a toxicology lab for analysis.
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierSystem-generated identifier for this Specimen.
... accessionIdentifier SΣ0..1IdentifierIdentifier assigned by the lab
... status ?!Σ0..1codeavailable | unavailable | unsatisfactory | entered-in-error
Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.

... type SΣ1..1CodeableConceptType of tissue or material
Binding: hl7VS-specimenType (example): The type of the specimen.

.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingCode defined by a terminology system
.... text SΣ1..1stringPlain text representation of the concept
... subject SΣ0..1Reference(US Core Patient Profile)The subject is the decedent.
... receivedTime Σ0..1dateTimeThe time when specimen was received for processing
... parent S0..*Reference(Specimen - Toxicology Lab)Specimen from which this specimen originated
... request 0..*Reference(ServiceRequest)Why the specimen was collected
... collection 0..1BackboneElementCollection details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... collector Σ0..1Reference(Practitioner | PractitionerRole)Who collected the specimen
.... collected[x] Σ0..1Collection time
..... collectedDateTimedateTime
..... collectedPeriodPeriod
.... duration Σ0..1DurationHow long it took to collect specimen
.... quantity 0..1SimpleQuantityThe quantity of specimen collected
.... method 0..1CodeableConceptTechnique used to perform collection
Binding: FHIRSpecimenCollectionMethod (example): The technique that is used to perform the procedure.

.... bodySite 0..1CodeableConceptAnatomical collection site
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

.... fastingStatus[x] Σ0..1Whether or how long patient abstained from food and/or drink
Binding: hl7VS-relevantClincialInformation (extensible): Codes describing the fasting status of the patient.

..... fastingStatusCodeableConceptCodeableConcept
..... fastingStatusDurationDuration
... processing 0..*BackboneElementProcessing and processing step details
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... description 0..1stringTextual description of procedure
.... procedure 0..1CodeableConceptIndicates 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..1Date and time of specimen processing
..... timeDateTimedateTime
..... timePeriodPeriod
... container 0..*BackboneElementDirect container of specimen (tube/slide, etc.)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... identifier SΣ0..*IdentifierId for the container
.... description 1..1stringTextual description of the container
.... type 0..1CodeableConceptKind of container directly associated with specimen
Binding: SpecimenContainerType (example): Type of specimen container.

.... capacity 0..1SimpleQuantityContainer volume or size
.... specimenQuantity 0..1SimpleQuantityQuantity of specimen within container
.... additive[x] S0..1Additive associated with container
Binding: hl7VS-additivePreservative (example): Substance added to specimen container.

..... additiveCodeableConceptCodeableConcept
..... additiveReferenceReference(Substance)
... condition SΣ0..*CodeableConceptState of the specimen
Binding: hl7VS-specimenCondition (extensible): Codes describing the state of the specimen.


... note S0..*AnnotationDetails or issues about the specimen or reason for no analysis

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Specimen.languagepreferredCommonLanguages
Max Binding: AllLanguages
Specimen.statusrequiredSpecimenStatus
Specimen.typeexampleHl7VSSpecimenType
Specimen.collection.methodexampleFHIRSpecimenCollectionMethod
Specimen.collection.bodySiteexampleSNOMEDCTBodyStructures
Specimen.collection.fastingStatus[x]extensibleHl7VSRelevantClincialInformation
Specimen.processing.procedureexampleSpecimenProcessingProcedure
Specimen.container.typeexampleSpecimenContainerType
Specimen.container.additive[x]exampleHl7VSAdditivePreservative
Specimen.conditionextensibleHl7VSSpecimenCondition

Constraints

IdGradePathDetailsRequirements
dom-2errorSpecimenIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSpecimenIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorSpecimenIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorSpecimenIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeSpecimenA resource should have narrative for robust management
: text.`div`.exists()
ele-1errorSpecimen.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.accessionIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.type.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.type.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.type.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.type.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.receivedTimeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.parentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.requestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collectionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.collection.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.collection.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.collection.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.collection.collectorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.collected[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.durationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.collection.fastingStatus[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.processingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.processing.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.processing.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.processing.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.processing.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.processing.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.processing.procedureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.processing.additiveAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.processing.time[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.containerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.container.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.container.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorSpecimen.container.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorSpecimen.container.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.capacityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.specimenQuantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.container.additive[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.conditionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorSpecimen.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())