## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen

Left: | Specimen (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips)
Right: | US Core Specimen Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '9.0.0'
Information | StructureDefinition.name | Values for name differ: 'SpecimenUvIps' vs 'USCoreSpecimenProfile'
Information | StructureDefinition.title | Values for title differ: 'Specimen (IPS)' vs 'US Core Specimen Profile'
Information | StructureDefinition.date | Values for date differ: '2024-06-19T10:50:07-05:00' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US'
Information | StructureDefinition.short | Values for short differ: 'External Identifier' vs 'Specimen identifier'
Warning | Specimen.identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Warning | Specimen.accessionIdentifier | Elements differ in definition for mustSupport: 'false' vs 'true'
Information | StructureDefinition.short | Values for short differ: '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' vs 'The patient where the specimen came from.'
Information | StructureDefinition.short | Values for short differ: 'Collection details' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection details'
Information | Specimen.collection.method | Example/preferred bindings differ at Specimen.collection.method using binding from SpecimenUvIps
Information | StructureDefinition.short | Values for short differ: 'Anatomical collection site' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site'
Information | StructureDefinition.comment | Values for comment differ: 'If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).' vs 'Body location from where a specimen was obtained. Examples include but are not limited to right internal jugular, left arm, and right eye.'
Information | StructureDefinition.short | Values for short differ: 'State of the specimen' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Specimen |
copyright |  |
date | 2024-06-19T10:50:07-05:00 | 2023-10-17 | Values Differ
description | This profile constrains the Specimen resource to represent the characteristics of a biological specimens in the context of laboratory results integrated to a patient summary. | The US Core Specimen Profile inherits from the FHIR [Specimen](https://hl7.org/fhir/R4/specimen.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Specimen resource to record, search, and fetch information about substances associated with a patient being sampled or tested (such as nasopharyngeal swab, whole blood, or serum). It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Values Differ
experimental |  | false | Added the item 'false'
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | urn:iso:std:iso:3166#US | Added the item 'urn:iso:std:iso:3166#US'
kind | resource |
name | SpecimenUvIps | USCoreSpecimenProfile | Values Differ
publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects | Values Differ
purpose | Minimal specimen attributes, usable for the laboratory results section and entry of a patient summary. |  | Removed the item 'Minimal specimen attributes, usable for the laboratory results section and entry of a patient summary.'
status | active |
title | Specimen (IPS) | US Core Specimen Profile | Values Differ
type | Specimen |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/Specimen-uv-ips | http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen | Values Differ
version | 2.0.0 | 9.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Specimen |  | 0..* | Specimen | Sample for analysis |  | 0..* | Specimen | Sample for analysis |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | 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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Identifier | S Σ | 0..* | Identifier | Specimen identifier | Elements differ in definition for mustSupport: 'false' vs 'true'
accessionIdentifier | Σ | 0..1 | Identifier | Identifier assigned by the lab | S Σ | 0..1 | Identifier | Identifier assigned by the lab | Elements differ in definition for mustSupport: 'false' vs 'true'
status | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen. | ?!Σ | 0..1 | code | available | unavailable | unsatisfactory | entered-in-error Binding: ?? (required): Codes providing the status/availability of a specimen. |
type | SO Σ | 1..1 | ?? | Kind of material that forms the specimen Binding: ?? (preferred)
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| S Σ | 1..1 | CodeableConcept | Kind of material that forms the specimen Binding: ?? (extensible) |
subject | SO Σ | 0..1 | Reference(Patient (IPS)) | 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
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| S Σ | 0..1 | Reference(US Core Patient Profile S | Group | US Core Device Profile | Substance | US Core Location Profile) | The patient where the specimen came from. |
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
|  |  |  |  | Removed this element
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |  |  |  |  | Removed this element
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |  |  |  |  | Removed this element
display | Σ | 0..1 | string | Text alternative for the resource |  |  |  |  | Removed this element
receivedTime | Σ | 0..1 | dateTime | The time when specimen was received for processing | Σ | 0..1 | dateTime | The time when specimen was received for processing |
parent |  | 0..* | Reference(Specimen) | Specimen from which this specimen originated |  | 0..* | Reference(Specimen) | Specimen from which this specimen originated |
request |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected |  | 0..* | Reference(ServiceRequest) | Why the specimen was collected |
collection |  | 0..1 | BackboneElement | Collection details |  | 0..1 | BackboneElement | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Collection details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
collector | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who collected the specimen |
collected[x] | Σ | 0..1 | dateTime, Period | Collection time | Σ | 0..1 | dateTime, Period | Collection time |
duration | Σ | 0..1 | Duration | How long it took to collect specimen | Σ | 0..1 | Duration | How long it took to collect specimen |
quantity |  | 0..1 | ?? | The quantity of specimen collected |  | 0..1 | ?? | The quantity of specimen collected |
method |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: ?? (preferred) |  | 0..1 | CodeableConcept | Technique used to perform collection Binding: ?? (example): The technique that is used to perform the procedure. | Example/preferred bindings differ at Specimen.collection.method using binding from SpecimenUvIps
bodySite |  | 0..1 | CodeableConcept | Anatomical collection site Binding: ?? (preferred) |  | 0..1 | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen Source Site Binding: ?? (extensible) |
fastingStatus[x] | Σ | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink Binding: ?? (extensible): Codes describing the fasting status of the patient. | Σ | 0..1 | CodeableConcept, Duration | Whether or how long patient abstained from food and/or drink Binding: ?? (extensible): Codes describing the fasting status of the patient. |
processing |  | 0..* | BackboneElement | Processing and processing step details |  | 0..* | BackboneElement | Processing and processing step details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
description |  | 0..1 | string | Textual description of procedure |  | 0..1 | string | Textual description of procedure |
procedure |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: ?? (example): Type indicating the technique used to process the specimen. |  | 0..1 | CodeableConcept | Indicates the treatment step applied to the specimen Binding: ?? (example): Type indicating the technique used to process the specimen. |
additive |  | 0..* | Reference(Substance) | Material used in the processing step |  | 0..* | Reference(Substance) | Material used in the processing step |
time[x] |  | 0..1 | dateTime, Period | Date and time of specimen processing |  | 0..1 | dateTime, Period | Date and time of specimen processing |
container |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) |  | 0..* | BackboneElement | Direct container of specimen (tube/slide, etc.) |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
identifier | Σ | 0..* | Identifier | Id for the container | Σ | 0..* | Identifier | Id for the container |
description |  | 0..1 | string | Textual description of the container |  | 0..1 | string | Textual description of the container |
type |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: ?? (example): Type of specimen container. |  | 0..1 | CodeableConcept | Kind of container directly associated with specimen Binding: ?? (example): Type of specimen container. |
capacity |  | 0..1 | ?? | Container volume or size |  | 0..1 | ?? | Container volume or size |
specimenQuantity |  | 0..1 | ?? | Quantity of specimen within container |  | 0..1 | ?? | Quantity of specimen within container |
additive[x] |  | 0..1 | CodeableConcept, Reference(Substance) | Additive associated with container Binding: ?? (example): Substance added to specimen container. |  | 0..1 | CodeableConcept, Reference(Substance) | Additive associated with container Binding: ?? (example): Substance added to specimen container. |
condition | Σ | 0..* | CodeableConcept | State of the specimen Binding: ?? (extensible): Codes describing the state of the specimen. | Σ | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Specimen condition Binding: ?? (extensible) |
note |  | 0..* | Annotation | Comments |  | 0..* | Annotation | Comments |
Documentation for this format