FHIR Implementation Guide for ABDM
3.1.0 - active
FHIR Implementation Guide for ABDM
3.1.0 - active
FHIR Implementation Guide for ABDM - Local Development build (v3.1.0). See the Directory of published versions
| Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/Specimen | Version: 3.1.0 | |||
| Draft as of 2020-08-17 | Computable Name: Specimen | |||
This profile sets minimum expectations for the Specimen resource to searching for and fetching information regarding a sample to be used for the analysis of a patient.
This profile sets minimum expectations for the Specimen resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Specimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Specimen | 0..* | Specimen | Sample for analysis | |
  type | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | |
 coding | S | 0..* | Coding | Code defined by a terminology system |
 system | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
 display | 1..1 | string | Representation defined by the system | |
| text | S | 0..1 | string | Plain text representation of the concept |
 subject | 0..1 | Reference(Patient) | 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 | S | 1..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 | ||||
 collector | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | |
 collected[x] | 1..1 | dateTime | Collection time | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.type | example | SpecimenTypes |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample for analysis | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. |
 type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) |
| coding | SΣ | 0..* | Coding | Code defined by a terminology system |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.status | required | SpecimenStatus |
| Specimen.type | example | SpecimenTypes |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample for analysis | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifier | ||||
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | ||||
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. | ||||
| type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..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 | 0..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 | dateTime | Collection time | ||||
| 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 | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
 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 | Container volume or size | |||||
| specimenQuantity | 0..1 | SimpleQuantity | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| Specimen.language | preferred | CommonLanguages
| ||||
| Specimen.status | required | SpecimenStatus | ||||
| Specimen.type | example | SpecimenTypes | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure | ||||
| Specimen.container.type | example | SpecimenContainerType | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition |
| Id | Grade | Path(s) | Details | Requirements |
| 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: 1 element (3 nested mandatory elements)
Must-Support: 3 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Specimen
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample for analysis | |
| type | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | |
| coding | S | 0..* | Coding | Code defined by a terminology system |
| system | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
| display | 1..1 | string | Representation defined by the system | |
| text | S | 0..1 | string | Plain text representation of the concept |
| subject | 0..1 | Reference(Patient) | 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 | S | 1..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 | ||||
| collector | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | |
| collected[x] | 1..1 | dateTime | Collection time | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.type | example | SpecimenTypes |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample for analysis | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. |
| type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) |
| coding | SΣ | 0..* | Coding | Code defined by a terminology system |
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system |
| display | Σ | 1..1 | string | Representation defined by the system |
| text | SΣ | 0..1 | string | Plain text representation of the concept |
| subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Specimen.status | required | SpecimenStatus |
| Specimen.type | example | SpecimenTypes |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Specimen | 0..* | Specimen | Sample for analysis | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | External Identifier | ||||
| accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | ||||
| status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: SpecimenStatus (required): Codes providing the status/availability of a specimen. | ||||
| type | Σ | 0..1 | CodeableConcept | Kind of material that forms the specimen Binding: Specimen Types (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject | Σ | 0..1 | Reference(Patient) | 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 | SΣ | 1..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 | 0..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 | dateTime | Collection time | ||||
| 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 | 0..1 | CodeableConcept | Anatomical collection site Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| 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 | Container volume or size | |||||
| specimenQuantity | 0..1 | SimpleQuantity | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| Specimen.language | preferred | CommonLanguages
| ||||
| Specimen.status | required | SpecimenStatus | ||||
| Specimen.type | example | SpecimenTypes | ||||
| Specimen.collection.method | example | FHIRSpecimenCollectionMethod | ||||
| Specimen.collection.bodySite | example | SNOMEDCTBodyStructures | ||||
| Specimen.collection.fastingStatus[x] | extensible | Hl7VSRelevantClincialInformation | ||||
| Specimen.processing.procedure | example | SpecimenProcessingProcedure | ||||
| Specimen.container.type | example | SpecimenContainerType | ||||
| Specimen.container.additive[x] | example | Hl7VSAdditivePreservative | ||||
| Specimen.condition | extensible | Hl7VSSpecimenCondition |
| Id | Grade | Path(s) | Details | Requirements |
| 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: 1 element (3 nested mandatory elements)
Must-Support: 3 elements
Fixed Value: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron