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        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        2.0.0 - Release 2 US

        This page is part of the NHSN Digital Quality Measures (dQM) Content Package Implementation Guide (v2.0.0: Release) based on FHIR (HL7? FHIR? Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

        Resource Profile: ACH Monthly Event Specimen

        Official URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-specimen Version: 2.0.0
        Standards status: Trial-use Maturity Level: 2 Computable Name: AcuteCareHospitalMonthlyReportingSpecimen

        This profile contains Required and Must Support data elements for reporting specimen information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 Specimen profile.

        Usages:

        You can also check for usages in the FHIR IG Statistics

        Changes since version 1.0.0:

      1. The resource metadata has changed (description)
      2. The data elements list has changed
      3. One or more text definitions, invariants or bindings have changed

        4. Formal Views of Profile Content

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

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id SΣ 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... accessionIdentifier SΣ 0..1 Identifier
        (NHSN-MS)
        Identifier assigned by the lab
        ... status ?!SΣ 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
        ... type SΣ 1..1 CodeableConcept
        (NHSN-MS)
        (USCDI) Kind of material that forms the specimen
        Binding: SpecimenType (20240606) . (extensible)
        ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) {b}
        (NHSN-MS)
        (USCDI) The patient where the specimen came from.
        .... reference SΣC 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        ... collection S 1..1 BackboneElement
        (NHSN-MS)
        Collection details
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... collected[x] SΣ 1..1
        (NHSN-MS)
        Collection time
        ..... collectedDateTime dateTime
        ..... collectedPeriod Period
        .... bodySite S 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        Specimen.status Base required SpecimenStatus ??4.0.1 FHIR Std.
        Specimen.type Base extensible Specimen type . ??20240606 VSAC v0.22
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.

        Constraints

        Id Grade Path(s) Description Expression
        dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
        dom-3 error Specimen If 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-4 error 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-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
        dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
        ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
        ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

        This structure is derived from USCoreSpecimenProfile

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id S 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... identifier S 0..* Identifier
        (NHSN-MS)
        External Identifier
        ... status S 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        ... type 1..1 CodeableConcept (NHSN-MS)(USCDI) Kind of material that forms the specimen
        ... subject 0..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(USCDI) The patient where the specimen came from.
        .... reference S 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        ... collection S 1..1 BackboneElement
        (NHSN-MS)
        Collection details
        .... collected[x] S 1..1 dateTime, Period
        (NHSN-MS)
        Collection time
        .... bodySite S 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)

        doco Documentation for this format

        Terminology Bindings (Differential)

        Path Status Usage ValueSet Version Source
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.
        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id SΣ 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... 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
        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
        ... 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
        (NHSN-MS)
        External Identifier
        ... accessionIdentifier SΣ 0..1 Identifier
        (NHSN-MS)
        Identifier assigned by the lab
        ... status ?!SΣ 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
        ... type SΣ 1..1 CodeableConcept
        (NHSN-MS)
        (USCDI) Kind of material that forms the specimen
        Binding: SpecimenType (20240606) . (extensible)
        ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) {b}
        (NHSN-MS)
        (USCDI) The patient where the specimen came from.
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... 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 1..1 BackboneElement
        (NHSN-MS)
        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 1..1
        (NHSN-MS)
        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 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)
        .... fastingStatus[x] Σ 0..1 Whether or how long patient abstained from food and/or drink
        Binding: Hl7VSRelevantClincialInformation (3.0.0) (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: Hl7VSAdditivePreservative (3.0.0) (example): Substance added to specimen container.
        ..... additiveCodeableConcept CodeableConcept
        ..... additiveReference Reference(Substance)
        ... condition Σ 0..* CodeableConcept State of the specimen
        Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
        ... note 0..* Annotation Comments

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        Specimen.meta.security Base extensible SecurityLabels ??4.0.1 FHIR Std.
        Specimen.meta.tag Base example Common Tags ??4.0.1 FHIR Std.
        Specimen.language Base preferred Common Languages ??4.0.1 FHIR Std.
        Specimen.status Base required SpecimenStatus ??4.0.1 FHIR Std.
        Specimen.type Base extensible Specimen type . ??20240606 VSAC v0.22
        Specimen.subject.type Base extensible ResourceType ??4.0.1 FHIR Std.
        Specimen.collection.?method Base example FHIR Specimen Collection Method ??4.0.1 FHIR Std.
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.
        Specimen.collection.?fastingStatus[x] Base extensible hl7VS-relevantClincialInformation ??3.0.0 THO v7.1
        Specimen.processing.?procedure Base example Specimen processing procedure ??4.0.1 FHIR Std.
        Specimen.container.type Base example Specimen Container Type ??4.0.1 FHIR Std.
        Specimen.container.additive[x] Base example hl7VS-additivePreservative ??3.0.0 THO v7.1
        Specimen.condition Base extensible hl7VS-specimenCondition ??3.0.0 THO v7.1

        Constraints

        Id Grade Path(s) Description Expression
        dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
        dom-3 error Specimen If 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-4 error 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-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
        dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
        ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
        ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

        This structure is derived from USCoreSpecimenProfile

        Summary

        Mandatory: 4 elements(1 nested mandatory element)
        Must-Support: 8 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Maturity: 2

        Key Elements View

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id SΣ 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... accessionIdentifier SΣ 0..1 Identifier
        (NHSN-MS)
        Identifier assigned by the lab
        ... status ?!SΣ 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
        ... type SΣ 1..1 CodeableConcept
        (NHSN-MS)
        (USCDI) Kind of material that forms the specimen
        Binding: SpecimenType (20240606) . (extensible)
        ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) {b}
        (NHSN-MS)
        (USCDI) The patient where the specimen came from.
        .... reference SΣC 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        ... collection S 1..1 BackboneElement
        (NHSN-MS)
        Collection details
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... collected[x] SΣ 1..1
        (NHSN-MS)
        Collection time
        ..... collectedDateTime dateTime
        ..... collectedPeriod Period
        .... bodySite S 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        Specimen.status Base required SpecimenStatus ??4.0.1 FHIR Std.
        Specimen.type Base extensible Specimen type . ??20240606 VSAC v0.22
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.

        Constraints

        Id Grade Path(s) Description Expression
        dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
        dom-3 error Specimen If 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-4 error 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-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
        dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
        ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
        ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

        Differential View

        This structure is derived from USCoreSpecimenProfile

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id S 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... identifier S 0..* Identifier
        (NHSN-MS)
        External Identifier
        ... status S 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        ... type 1..1 CodeableConcept (NHSN-MS)(USCDI) Kind of material that forms the specimen
        ... subject 0..1 Reference(Cross-Measure Patient Profile) {b} (NHSN-MS)(USCDI) The patient where the specimen came from.
        .... reference S 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        ... collection S 1..1 BackboneElement
        (NHSN-MS)
        Collection details
        .... collected[x] S 1..1 dateTime, Period
        (NHSN-MS)
        Collection time
        .... bodySite S 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)

        doco Documentation for this format

        Terminology Bindings (Differential)

        Path Status Usage ValueSet Version Source
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.

        Snapshot View

        Name Flags Card. Type Description & Constraints????Filter: Filtersdoco
        .. Specimen 0..* USCoreSpecimenProfile(6.1.0) Sample for analysis
        ... id SΣ 1..1 id
        (NHSN-MS)
        Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... 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
        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
        ... 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
        (NHSN-MS)
        External Identifier
        ... accessionIdentifier SΣ 0..1 Identifier
        (NHSN-MS)
        Identifier assigned by the lab
        ... status ?!SΣ 0..1 code
        (NHSN-MS)
        available | unavailable | unsatisfactory | entered-in-error
        Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
        ... type SΣ 1..1 CodeableConcept
        (NHSN-MS)
        (USCDI) Kind of material that forms the specimen
        Binding: SpecimenType (20240606) . (extensible)
        ... subject SΣ 0..1 Reference(Cross-Measure Patient Profile) {b}
        (NHSN-MS)
        (USCDI) The patient where the specimen came from.
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string
        (NHSN-MS)
        Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... 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 1..1 BackboneElement
        (NHSN-MS)
        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 1..1
        (NHSN-MS)
        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 1..1 CodeableConcept
        (NHSN-MS)
        Anatomical collection site
        Binding: SNOMEDCTBodyStructures (extensible)
        .... fastingStatus[x] Σ 0..1 Whether or how long patient abstained from food and/or drink
        Binding: Hl7VSRelevantClincialInformation (3.0.0) (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: Hl7VSAdditivePreservative (3.0.0) (example): Substance added to specimen container.
        ..... additiveCodeableConcept CodeableConcept
        ..... additiveReference Reference(Substance)
        ... condition Σ 0..* CodeableConcept State of the specimen
        Binding: Hl7VSSpecimenCondition (3.0.0) (extensible): Codes describing the state of the specimen.
        ... note 0..* Annotation Comments

        doco Documentation for this format

        Terminology Bindings

        Path Status Usage ValueSet Version Source
        Specimen.meta.security Base extensible SecurityLabels ??4.0.1 FHIR Std.
        Specimen.meta.tag Base example Common Tags ??4.0.1 FHIR Std.
        Specimen.language Base preferred Common Languages ??4.0.1 FHIR Std.
        Specimen.status Base required SpecimenStatus ??4.0.1 FHIR Std.
        Specimen.type Base extensible Specimen type . ??20240606 VSAC v0.22
        Specimen.subject.type Base extensible ResourceType ??4.0.1 FHIR Std.
        Specimen.collection.?method Base example FHIR Specimen Collection Method ??4.0.1 FHIR Std.
        Specimen.collection.?bodySite Base extensible SNOMED CT Body Structures ??4.0.1 FHIR Std.
        Specimen.collection.?fastingStatus[x] Base extensible hl7VS-relevantClincialInformation ??3.0.0 THO v7.1
        Specimen.processing.?procedure Base example Specimen processing procedure ??4.0.1 FHIR Std.
        Specimen.container.type Base example Specimen Container Type ??4.0.1 FHIR Std.
        Specimen.container.additive[x] Base example hl7VS-additivePreservative ??3.0.0 THO v7.1
        Specimen.condition Base extensible hl7VS-specimenCondition ??3.0.0 THO v7.1

        Constraints

        Id Grade Path(s) Description Expression
        dom-2 error Specimen If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
        dom-3 error Specimen If 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-4 error 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-5 error Specimen If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
        dom-6 best practice Specimen A resource should have narrative for robust management text.`div`.exists()
        ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
        ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

        This structure is derived from USCoreSpecimenProfile

        Summary

        Mandatory: 4 elements(1 nested mandatory element)
        Must-Support: 8 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Maturity: 2

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        Other representations of profile: CSV, Excel, Schematron


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