CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: ACH Daily Event Specimen

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-daily-specimen | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: AcuteCareHospitalDailyEventSpecimen

This profile contains Required and Must Support data elements for reporting COVID-19, Influenza, and Respiratory Syncytial Virus (RSV) specimen information for the NHSN Acute Care Hospital (ACH) Daily Digital Quality Measure. This profile is based on the HL7 FHIR R4 Specimen Resource v4.0.1.

Usages:

- Examples for this Profile: Specimen/specimen-example-ach-daily-initialpopulationpass, Specimen/specimen-example-ach-daily-negativepcr-1, Specimen/specimen-example-ach-daily-negativepcr-2 and Specimen/specimen-example-ach-daily-rsvlabbtg

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id | Σ | 1..1 | id | 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
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | S Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
collection |  | 1..1 | BackboneElement | Collection details
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 1..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
bodySite |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From the FHIR Standard
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id |  | 1..1 | id | 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.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
identifier | S | 0..* | Identifier | External Identifier
accessionIdentifier | S | 0..1 | Identifier | Identifier assigned by the lab
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type |  | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
collection |  | 1..1 | BackboneElement | Collection details
collected[x] |  | 1..1 | dateTime, Period | Collection time
bodySite |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id | Σ | 1..1 | id | 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.cdc.gov/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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | S Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Substance | Location) | 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 |  | 1..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 | 1..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | 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 |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
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(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | 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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Specimen.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From the FHIR Standard
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method|4.0.1` From the FHIR Standard
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard
Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation `http://terminology.hl7.org/ValueSet/v2-0916`
Specimen.processing.procedure | example | SpecimenProcessingProcedure `http://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1` From the FHIR Standard
Specimen.container.type | example | SpecimenContainerType `http://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1` From the FHIR Standard
Specimen.container.additive[x] | example | Hl7VSAdditivePreservative `http://terminology.hl7.org/ValueSet/v2-0371`
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 Specimen

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id | Σ | 1..1 | id | 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
identifier | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | S Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
collection |  | 1..1 | BackboneElement | Collection details
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
collected[x] | Σ | 1..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
bodySite |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From the FHIR Standard
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 Specimen

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id |  | 1..1 | id | 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.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
identifier | S | 0..* | Identifier | External Identifier
accessionIdentifier | S | 0..1 | Identifier | Identifier assigned by the lab
status | S | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error
type |  | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
collection |  | 1..1 | BackboneElement | Collection details
collected[x] |  | 1..1 | dateTime, Period | Collection time
bodySite |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis
id | Σ | 1..1 | id | 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.cdc.gov/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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | S Σ | 0..* | Identifier | External Identifier
accessionIdentifier | S Σ | 0..1 | Identifier | Identifier assigned by the lab
status | ?!S Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen.
type | Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen type (extensible)
subject | Σ | 0..1 | Reference(Patient | Group | Device | Substance | Location) | 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 |  | 1..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 | 1..1 |  | Collection time
collectedDateTime |  |  | dateTime |
collectedPeriod |  |  | Period |
duration | Σ | 0..1 | Duration | How long it took to collect specimen
quantity |  | 0..1 | SimpleQuantity(4.0.1) | 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 |  | 1..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (extensible)
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(4.0.1) | Container volume or size
specimenQuantity |  | 0..1 | SimpleQuantity(4.0.1) | 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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Specimen.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
Specimen.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
Specimen.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Specimen.status | required | SpecimenStatus `http://hl7.org/fhir/ValueSet/specimen-status|4.0.1` From the FHIR Standard
Specimen.type | extensible | SpecimenType `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.54` From http://tx.fhir.org/r4
Specimen.collection.method | example | FHIRSpecimenCollectionMethod `http://hl7.org/fhir/ValueSet/specimen-collection-method|4.0.1` From the FHIR Standard
Specimen.collection.bodySite | extensible | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard
Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation `http://terminology.hl7.org/ValueSet/v2-0916`
Specimen.processing.procedure | example | SpecimenProcessingProcedure `http://hl7.org/fhir/ValueSet/specimen-processing-procedure|4.0.1` From the FHIR Standard
Specimen.container.type | example | SpecimenContainerType `http://hl7.org/fhir/ValueSet/specimen-container-type|4.0.1` From the FHIR Standard
Specimen.container.additive[x] | example | Hl7VSAdditivePreservative `http://terminology.hl7.org/ValueSet/v2-0371`
Specimen.condition | extensible | Hl7VSSpecimenCondition `http://terminology.hl7.org/ValueSet/v2-0493`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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 Specimen

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Maturity: 1

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