Specimen Delta

Base R4 Specimen	Profile UKCore-Specimen	CareConnect-Specimen-1	Notes
Specimen.status 0..1 code http://hl7.org/fhir/R4/valueset specimen-status (required)	Specimen.status 0..1 code http://hl7.org/fhir/R4/valueset specimen-status (required)	Specimen.status 0..1 code http://hl7.org/fhir/ValueSet/ specimen-status (required)	Change value set from http://hl7.org/fhir/ValueSet/specimen-status to http://hl7.org/fhir/ValueSet/specimen-status\|4.0.1
Specimen.subject 0..1 Reference (Device \| Group \| Location \| Patient)	Specimen.subject 0..1 Reference (UKCore-Device \| Group \| UKCore-Location \| UKCore-Patient)	Specimen.subject 1..1 Reference (Device \| Group \| CareConnect-Location-1 \| CareConnect-Patient-1)	Minimum cardinality changed from 1 to 0 in R4.
Specimen.request 0..* Reference (ServiceRequest)	Specimen.request 0..* Reference (UKCore-ServiceRequest)	Specimen.request 0..* Reference (CareConnect-ProcedureRequest-1)	Reference to type ProcedureRequest in STU3, replaced with ServiceRequest in R4
Specimen.collection 0..1 BackboneElement	Specimen.collection 0..1 BackboneElement	Specimen.collection 0..1 BackboneElement
		Specimen.collection.extension:fastingStatus 0..1 CodeableConcept Duration http://terminology.hl7.org/ValueSet/v2-0916 (extensible)	CareConnect Extension 'fastingStatus' replaced with element 'fastingStatus[x]' in R4.
Specimen.collection.collector 0..1 Reference (Practitioner \| PractitionerRole)	Specimen.collection.collector 0..1 Reference (UKCore-Practitioner \| UKCore-PractitionerRole)	Specimen.collection.collector 0..1 Reference (CareConnect-Practitioner-1)	Added reference to PractitionerRole in R4
Specimen.collection.duration 0..1 Duration	Specimen.collection.duration 0..1 Duration		New element in R4
Specimen.collection.bodySite 0..1 code http://hl7.org/fhir/R4/valueset body-site (example)	Specimen.collection.bodySite 0..1 code http://hl7.org/fhir/R4/valueset UKCore-SpecimenBodySite (preferred)	Specimen.collection.bodySite 0..1 code https://fhir.hl7.org.uk/STU3/ValueSet/ areConnect-SpecimenBodySite-1 (extensible)
Specimen.collection.fastingStatus[x] 0..1 CodeableConcept Duration http://terminology.hl7.org/ValueSet/v2-0916 (extensible)	Specimen.collection.fastingStatus[x] 0..1 CodeableConcept Duration http://terminology.hl7.org/ValueSet/v2-0916 (extensible)		New element in R4
Specimen.condition 0..* CodeableConcept http://terminology.hl7.org/ValueSet/v2-0493 (extensible)	Specimen.condition 0..* CodeableConcept http://terminology.hl7.org/ValueSet/v2-0493 (extensible)		New element in R4
Specimen.note 0..* Annotation	Specimen.note 0..* Annotation	Specimen.note 0..1 Annotation	Maximum cardinality changed from 1 to * in R4.
Specimen.note.author[x] 0..1 Reference (Organization \| Patient \| Practitioner \| RelatedPerson)	Specimen.note.author[x] 0..1 Reference (UKCore-Organization \| UKCore-Patient \| UKCore-Practitioner \| UKCore-RelatedPerson)	Specimen.note.author[x] 0..1 Reference (CareConnect-Patient-1 \| CareConnect-Practitioner-1)	Added reference to Organization and RelatedPerson in R4