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

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	2023-10-17	2024-04-05T18:37:56+00:00	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.	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.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreSpecimenProfile	SpecimenToxicologyLab	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Public Health	Values Differ
purpose
status	active
title	US Core Specimen Profile	Specimen - Toxicology Lab	Values Differ
type	Specimen
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen	http://hl7.org/fhir/us/mdi/StructureDefinition/Specimen-toxicology-lab	Values Differ
version	7.0.0-ballot	2.0.0-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	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	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
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
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	SΣ	0..*	Identifier	Specimen identifier	SΣ	0..*	Identifier	System-generated identifier for this Specimen.
accessionIdentifier	Σ	0..1	Identifier	Identifier assigned by the lab	SΣ	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	SΣ	1..1	CodeableConcept	Kind of material that forms the specimen Binding: ?? (extensible)	SΣ	1..1	CodeableConcept	Type of tissue or material Binding: ?? (example): The type of the specimen.
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					SΣ	0..*	Coding	Code defined by a terminology system	Added this element
text					SΣ	1..1	string	Plain text representation of the concept	Added this element
subject	SΣ	0..1	Reference(US Core Patient Profile S | Group | Device | Substance | US Core Location Profile)	The patient where the specimen came from.	SΣ	0..1	Reference(US Core Patient Profile)	The subject is the decedent.
receivedTime	Σ	0..1	dateTime	The time when specimen was received for processing	SΣ	0..1	dateTime	Time when specimen was received by the forensic toxicology lab for processing	Elements differ in definition for mustSupport: 'false' vs 'true'
parent		0..*	Reference(Specimen)	Specimen from which this specimen originated	S	0..*	Reference(Specimen - Toxicology Lab)	Specimen from which this specimen originated	Elements differ in definition for mustSupport: 'false' vs 'true'
request		0..*	Reference(ServiceRequest)	Why the specimen was collected		0..*	Reference(ServiceRequest)	Why the specimen was collected
collection		0..1	BackboneElement	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection details	S	0..1	BackboneElement	Collection details	Elements differ in definition for mustSupport: 'false' vs 'true'
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	SΣ	0..1	dateTime, Period	Time collected from either the body or the scene	Elements differ in definition for mustSupport: 'false' vs 'true'
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	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: ?? (extensible)		0..1	CodeableConcept	Anatomical collection site Binding: ?? (example): Codes describing anatomical locations. May include laterality.
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	S	0..*	BackboneElement	Processing and processing step details	Elements differ in definition for mustSupport: 'false' vs 'true'
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	S	0..1	dateTime, Period	Date and time of specimen processing	Elements differ in definition for mustSupport: 'false' vs 'true'
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	SΣ	0..*	Identifier	Id for the container	Elements differ in definition for mustSupport: 'false' vs 'true'
description		0..1	string	Textual description of the container		1..1	string	Textual description of the container	Element minimum cardinalities differ: '0' vs '1'
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.	S	0..1	CodeableConcept, Reference(Substance)	Additive associated with container Binding: ?? (example): Substance added to specimen container.	Elements differ in definition for mustSupport: 'false' vs 'true'
condition	Σ	0..*	CodeableConcept	𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition acceptability Binding: ?? (extensible)	SΣ	0..*	CodeableConcept	State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen.	Elements differ in definition for mustSupport: 'false' vs 'true'
note		0..*	Annotation	Comments	S	0..*	Annotation	Details or issues about the specimen or reason for no analysis	Elements differ in definition for mustSupport: 'false' vs 'true'
Documentation for this format