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Specimen Profile

Canonical../StructureDefinition/nexus-emr-core-specimen
Statusdraft (experimental) · 1.26.0
BaseSpecimen (constraint)
SourceFSH · JSON

Nexus EMR profile for Specimen -- the physical sample a lab result was produced from. Currently a pass-through type: the platform resolves ServiceRequest.specimen references and traverses into Specimen from DiagnosticReport, but reads none of its own fields. First pass; the heritage-EMR reconciliation is unresolved.

Elements / Snapshot

The full effective definition: base Specimen with this profile's constraints applied.

Element Flags Card. Type Description & Constraints
Specimen 0..* Nexus EMR Specimen Core
Invariants: dom-2, dom-3, dom-4, dom-5, dom-6, nexus-note-extension-not-where-native
id 0..1 http://hl7.org/fhirpath/System.String Logical id of this artifact i
meta 0..1 Meta Metadata about the resource
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Slicing: value:url (open)
Invariants: ele-1, ext-1
versionId 0..1 id Version specific identifier i
Invariants: ele-1
lastUpdated 0..1 instant When the resource version last changed i
Invariants: ele-1
source S 0..1 uri Identifies EMR instance & pipeline version the resource came from i
Invariants: ele-1
profile 0..* canonical Profiles this resource claims to conform to i
Invariants: ele-1
security 0..* Coding Security Labels applied to this resource i
Binding: security-labels (extensible)
Invariants: ele-1
tag 0..* Coding Tags applied to this resource i
Binding: common-tags (example)
Invariants: ele-1
implicitRules ?! 0..1 uri A set of rules under which this content was created i
Invariants: ele-1
language 0..1 code Language of the resource content i
Binding: languages (preferred)
Invariants: ele-1
text S 0..1 Narrative Narrative i
Invariants: ele-1
contained 0..* Resource Contained, inline Resources i
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored i
Invariants: ele-1, ext-1
identifier 0..* Identifier Business identifier(s) for the specimen i
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Slicing: value:url (open)
Invariants: ele-1, ext-1
use ?! 0..1 code usual | official | temp | secondary | old (If known) i
Binding: identifier-use (required)
Invariants: ele-1
type 0..1 CodeableConcept Description of identifier i
Binding: identifier-type (extensible)
Invariants: ele-1
system 1..1 uri The namespace for the identifier value i
Invariants: ele-1
value 1..1 string The value that is unique i
Invariants: ele-1
period 0..1 Period Time period when id is/was valid for use
Invariants: ele-1
assigner 0..1 Reference(Organization) Organization that issued id (may be just text) i
Invariants: ele-1
accessionIdentifier S 0..1 Identifier The performing lab's accession number i
Invariants: ele-1
status S ?! 0..1 code available | unavailable | unsatisfactory | entered-in-error i
Binding: specimen-status (required)
Invariants: ele-1
type S 0..1 CodeableConcept The kind of sample (blood, urine, swab, ...) i
Binding: v2-0487 (example)
Invariants: ele-1
subject S 0..1 Reference(Patient Profile) The patient the sample came from
Invariants: ele-1
receivedTime S 0..1 dateTime When the lab received the sample
Invariants: ele-1
parent 0..* Reference(Specimen) Specimen from which this specimen originated i
Invariants: ele-1
request S 0..* Reference(ServiceRequest Profile) The order this sample was collected for i
Invariants: ele-1
collection S 0..1 BackboneElement How and when the sample was collected
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored even if unrecognized i
Invariants: ele-1, ext-1
collector S 0..1 Reference(Practitioner Profile | PractitionerRole Profile) Who collected the sample
Invariants: ele-1
collected[x] S 0..1 dateTime, Period When the sample was collected i
Invariants: ele-1
duration 0..1 Duration How long it took to collect specimen
Invariants: ele-1
quantity 0..1 Quantity(SimpleQuantity) The quantity of specimen collected
Invariants: ele-1
method 0..1 CodeableConcept Technique used to perform collection
Binding: specimen-collection-method (example)
Invariants: ele-1
bodySite S 0..1 CodeableConcept Where on the body the sample was taken from i
Binding: body-site (example)
Invariants: ele-1
fastingStatus[x] 0..1 CodeableConcept, Duration Whether or how long patient abstained from food and/or drink i
Binding: v2-0916 (extensible)
Invariants: ele-1
processing 0..* BackboneElement Processing and processing step details
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored even if unrecognized i
Invariants: ele-1, ext-1
description 0..1 string Textual description of procedure
Invariants: ele-1
procedure 0..1 CodeableConcept Indicates the treatment step applied to the specimen
Binding: specimen-processing-procedure (example)
Invariants: ele-1
additive 0..* Reference(Substance) Material used in the processing step
Invariants: ele-1
time[x] 0..1 dateTime, Period Date and time of specimen processing
Invariants: ele-1
container 0..* BackboneElement Direct container of specimen (tube/slide, etc.)
Invariants: ele-1
id 0..1 http://hl7.org/fhirpath/System.String Unique id for inter-element referencing
extension 0..* Extension Additional content defined by implementations i
Invariants: ele-1, ext-1
modifierExtension ?! 0..* Extension Extensions that cannot be ignored even if unrecognized i
Invariants: ele-1, ext-1
identifier 0..* Identifier Id for the container
Invariants: ele-1
description 0..1 string Textual description of the container
Invariants: ele-1
type 0..1 CodeableConcept Kind of container directly associated with specimen
Binding: specimen-container-type (example)
Invariants: ele-1
capacity 0..1 Quantity(SimpleQuantity) Container volume or size
Invariants: ele-1
specimenQuantity 0..1 Quantity(SimpleQuantity) Quantity of specimen within container
Invariants: ele-1
additive[x] 0..1 CodeableConcept, Reference(Substance) Additive associated with container
Binding: v2-0371 (example)
Invariants: ele-1
condition 0..* CodeableConcept State of the specimen i
Binding: v2-0493 (extensible)
Invariants: ele-1
note 0..* Annotation Comments
Invariants: ele-1