This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions
| Blood Sample Example | 
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen
Profile of Specimen for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
This profile builds on Specimen.
This profile was published on Wed Aug 22 00:00:00 AEST 2018 as a draft by Health Level Seven, Inc. - CQI WG.
Description of Profiles, Differentials, and Snapshots.
Summary
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | 0..* | |||
![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]()  | S | 1..1 | Reference(QICore-Patient | QICore-Device | QICore-Substance | Group) | |
![]() ![]()  | S | 0..1 | dateTime | |
![]() ![]()  | 0..* | Reference(QICore-Specimen) | ||
![]() ![]()  | 0..1 | BackboneElement | ||
![]() ![]() ![]()  | 0..1 | Reference(QICore-Practitioner) | ||
![]() ![]() ![]()  | S | 0..1 | dateTime, Period | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]()  | 0..* | BackboneElement | ||
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]() ![]()  | 0..* | Reference(QICore-Substance) | ||
![]() ![]()  | 0..* | BackboneElement | ||
![]() ![]() ![]()  | 0..1 | integer | The sequence number of the sample URL: http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber  | |
![]() ![]() ![]()  | 0..1 | CodeableConcept, Reference(QICore-Substance) | ||
  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | I | 0..* | Sample for analysis | |
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | 
![]() ![]()  | Σ | 0..1 | Meta | Metadata about the resource | 
![]() ![]()  | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages  | |
![]() ![]()  | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
![]() ![]()  | 0..* | Resource | Contained, inline Resources | |
![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]()  | ?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | Σ | 0..* | Identifier | External Identifier | 
![]() ![]()  | Σ | 0..1 | Identifier | Identifier assigned by the lab | 
![]() ![]()  | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required)  | 
![]() ![]()  | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: v2 Specimen Type (example)  | 
![]() ![]()  | SΣ | 1..1 | Reference(QICore-Patient | QICore-Device | QICore-Substance | Group) | Where the specimen came from. This may be from the patient(s) or from the environment or a device | 
![]() ![]()  | SΣ | 0..1 | dateTime | The time when specimen was received for processing | 
![]() ![]()  | 0..* | Reference(QICore-Specimen) | Specimen from which this specimen originated | |
![]() ![]()  | 0..* | Reference(ProcedureRequest) | Why the specimen was collected | |
![]() ![]()  | I | 0..1 | BackboneElement | Collection details | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | Σ | 0..1 | Reference(QICore-Practitioner) | Who collected the specimen | 
![]() ![]() ![]()  | SΣ | 0..1 | dateTime, Period | Collection time | 
![]() ![]() ![]()  | 0..1 | SimpleQuantity | The quantity of specimen collected | |
![]() ![]() ![]()  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIR Specimen Collection Method (example)  | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMED CT Body Structures (example)  | 
![]() ![]()  | I | 0..* | BackboneElement | Processing and processing step details | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | 0..1 | string | Textual description of procedure | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Indicates the treatment step  applied to the specimen Binding: SpecimenProcessingProcedure (example)  | 
![]() ![]() ![]()  | 0..* | Reference(QICore-Substance) | Material used in the processing step | |
![]() ![]() ![]()  | 0..1 | dateTime, Period | Date and time of specimen processing | |
![]() ![]()  | I | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Extension Slice: Unordered, Open by value:url  | |
![]() ![]() ![]()  | I | 0..1 | integer | The sequence number of the sample URL: http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber  | 
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | Σ | 0..* | Identifier | Id for the container | 
![]() ![]() ![]()  | 0..1 | string | Textual description of the container | |
![]() ![]() ![]()  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: SpecimenContainer (example)  | |
![]() ![]() ![]()  | 0..1 | SimpleQuantity | Container volume or size | |
![]() ![]() ![]()  | 0..1 | SimpleQuantity | Quantity of specimen within container | |
![]() ![]() ![]()  | 0..1 | CodeableConcept, Reference(QICore-Substance) | Additive associated with container Binding: v2 Additive/Preservative (example)  | |
![]() ![]()  | 0..* | Annotation | Comments | |
  Documentation for this format | ||||
Summary
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | 0..* | |||
![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]()  | S | 1..1 | Reference(QICore-Patient | QICore-Device | QICore-Substance | Group) | |
![]() ![]()  | S | 0..1 | dateTime | |
![]() ![]()  | 0..* | Reference(QICore-Specimen) | ||
![]() ![]()  | 0..1 | BackboneElement | ||
![]() ![]() ![]()  | 0..1 | Reference(QICore-Practitioner) | ||
![]() ![]() ![]()  | S | 0..1 | dateTime, Period | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]()  | 0..* | BackboneElement | ||
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | |
![]() ![]() ![]()  | 0..* | Reference(QICore-Substance) | ||
![]() ![]()  | 0..* | BackboneElement | ||
![]() ![]() ![]()  | 0..1 | integer | The sequence number of the sample URL: http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber  | |
![]() ![]() ![]()  | 0..1 | CodeableConcept, Reference(QICore-Substance) | ||
  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | I | 0..* | Sample for analysis | |
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | 
![]() ![]()  | Σ | 0..1 | Meta | Metadata about the resource | 
![]() ![]()  | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages  | |
![]() ![]()  | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
![]() ![]()  | 0..* | Resource | Contained, inline Resources | |
![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]()  | ?! | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | Σ | 0..* | Identifier | External Identifier | 
![]() ![]()  | Σ | 0..1 | Identifier | Identifier assigned by the lab | 
![]() ![]()  | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required)  | 
![]() ![]()  | SΣ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: v2 Specimen Type (example)  | 
![]() ![]()  | SΣ | 1..1 | Reference(QICore-Patient | QICore-Device | QICore-Substance | Group) | Where the specimen came from. This may be from the patient(s) or from the environment or a device | 
![]() ![]()  | SΣ | 0..1 | dateTime | The time when specimen was received for processing | 
![]() ![]()  | 0..* | Reference(QICore-Specimen) | Specimen from which this specimen originated | |
![]() ![]()  | 0..* | Reference(ProcedureRequest) | Why the specimen was collected | |
![]() ![]()  | I | 0..1 | BackboneElement | Collection details | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | Σ | 0..1 | Reference(QICore-Practitioner) | Who collected the specimen | 
![]() ![]() ![]()  | SΣ | 0..1 | dateTime, Period | Collection time | 
![]() ![]() ![]()  | 0..1 | SimpleQuantity | The quantity of specimen collected | |
![]() ![]() ![]()  | 0..1 | CodeableConcept | Technique used to perform collection Binding: FHIR Specimen Collection Method (example)  | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMED CT Body Structures (example)  | 
![]() ![]()  | I | 0..* | BackboneElement | Processing and processing step details | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Additional Content defined by implementations | |
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | 0..1 | string | Textual description of procedure | |
![]() ![]() ![]()  | S | 0..1 | CodeableConcept | Indicates the treatment step  applied to the specimen Binding: SpecimenProcessingProcedure (example)  | 
![]() ![]() ![]()  | 0..* | Reference(QICore-Substance) | Material used in the processing step | |
![]() ![]() ![]()  | 0..1 | dateTime, Period | Date and time of specimen processing | |
![]() ![]()  | I | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) | 
![]() ![]() ![]()  | 0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]()  | 0..* | Extension | Extension Slice: Unordered, Open by value:url  | |
![]() ![]() ![]()  | I | 0..1 | integer | The sequence number of the sample URL: http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber  | 
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]() ![]()  | Σ | 0..* | Identifier | Id for the container | 
![]() ![]() ![]()  | 0..1 | string | Textual description of the container | |
![]() ![]() ![]()  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: SpecimenContainer (example)  | |
![]() ![]() ![]()  | 0..1 | SimpleQuantity | Container volume or size | |
![]() ![]() ![]()  | 0..1 | SimpleQuantity | Quantity of specimen within container | |
![]() ![]() ![]()  | 0..1 | CodeableConcept, Reference(QICore-Substance) | Additive associated with container Binding: v2 Additive/Preservative (example)  | |
![]() ![]()  | 0..* | Annotation | Comments | |
  Documentation for this format | ||||

| Path | Conformance | ValueSet | 
| Specimen.type | example | v2 Specimen Type | 
| Specimen.collection.bodySite | example | SNOMED CT Body Structures | 
| Specimen.processing.procedure | example | SpecimenProcessingProcedure | 

| Id | Path | Details | Requirements | 
| dom-2 | Specimen | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()  | |
| dom-1 | Specimen | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()  | |
| dom-4 | Specimen | If 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-3 | Specimen | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()  | |
| ele-1 | Specimen.collection | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())  | |
| ele-1 | Specimen.processing | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())  | |
| ele-1 | Specimen.container | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())  | |
| ele-1 | Specimen.container.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())  | |
| ext-1 | Specimen.container.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists()  | |
| ele-1 | Specimen.container.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())  | |
| ext-1 | Specimen.container.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists()  |