This
page
is
part
of
the
FHIR
Specification
(v3.0.2:
STU
3).
(v3.3.0:
R4
Ballot
2).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R5
R4B
R4
R3
R2
Orders
and
Observations
Work
Group
|
Maturity Level : 2 | Trial Use | Compartments : Device , Patient , Practitioner |
Detailed Descriptions for the elements in the Specimen resource.
| Specimen | |
| Element Id | Specimen |
| Definition |
A sample to be used for analysis. |
| Control | 1..1 |
| Specimen.identifier | |
| Element Id | Specimen.identifier |
| Definition |
Id for specimen. |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| Summary | true |
| Specimen.accessionIdentifier | |
| Element Id | Specimen.accessionIdentifier |
| Definition |
The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures. |
| Control | 0..1 |
| Type | Identifier |
| Summary | true |
| Specimen.status | |
| Element Id | Specimen.status |
| Definition |
The availability of the specimen. |
| Control | 0..1 |
| Terminology Binding | SpecimenStatus ( Required ) |
| Type | code |
| Is Modifier | true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid) |
| Summary | true |
| Comments |
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Specimen.type | |
| Element Id | Specimen.type |
| Definition |
The kind of material that forms the specimen. |
| Control | 0..1 |
| Terminology Binding | v2 Specimen Type ( Example ) |
| Type | CodeableConcept |
| Summary | true |
| Comments |
The
type
can
change
the
way
that
a
specimen
is
|
| Specimen.subject | |
| Element Id | Specimen.subject |
| Definition |
Where
the
specimen
came
from.
This
may
be
from
patient(s),from
a
location
(e.g.,
the
|
| Control | 1..1 |
| Type | Reference ( Patient | Group | Device | Substance | Location ) |
| Requirements |
Must know the subject context. |
| Summary | true |
| Specimen.receivedTime | |
| Element Id | Specimen.receivedTime |
| Definition |
Time when specimen was received for processing or testing. |
| Control | 0..1 |
| Type | dateTime |
| Summary | true |
| Specimen.parent | |
| Element Id | Specimen.parent |
| Definition |
Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen. |
| Control | 0..* |
| Type | Reference ( Specimen ) |
| Comments |
The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample. |
| Specimen.request | |
| Element Id | Specimen.request |
| Definition |
Details
concerning
a
|
| Control | 0..* |
| Type |
Reference
(
|
| Comments |
The
request
may
be
explicit
or
implied
such
with
a
|
| Specimen.collection | |
| Element Id | Specimen.collection |
| Definition |
Details concerning the specimen collection. |
| Control | 0..1 |
| Specimen.collection.collector | |
| Element Id | Specimen.collection.collector |
| Definition |
Person who collected the specimen. |
| Control | 0..1 |
| Type | Reference ( Practitioner ) |
| Summary | true |
| Specimen.collection.collected[x] | |
| Element Id | Specimen.collection.collected[x] |
| Definition |
Time when specimen was collected from subject - the physiologically relevant time. |
| Control | 0..1 |
| Type | dateTime | Period |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | true |
| Specimen.collection.quantity | |
| Element Id | Specimen.collection.quantity |
| Definition |
The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample. |
| Control | 0..1 |
| Type | SimpleQuantity |
| Specimen.collection.method | |
| Element Id | Specimen.collection.method |
| Definition |
A coded value specifying the technique that is used to perform the procedure. |
| Control | 0..1 |
| Terminology Binding | FHIR Specimen Collection Method ( Example ) |
| Type | CodeableConcept |
| Specimen.collection.bodySite | |
| Element Id | Specimen.collection.bodySite |
| Definition |
Anatomical location from which the specimen was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens. |
| Control | 0..1 |
| Terminology Binding | SNOMED CT Body Structures ( Example ) |
| Type | CodeableConcept |
| Comments |
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
|
| Specimen.processing | |
| Element Id | Specimen.processing |
| Definition |
Details concerning processing and processing steps for the specimen. |
| Control | 0..* |
| Specimen.processing.description | |
| Element Id | Specimen.processing.description |
| Definition |
Textual description of procedure. |
| Control | 0..1 |
| Type | string |
| Specimen.processing.procedure | |
| Element Id | Specimen.processing.procedure |
| Definition |
A coded value specifying the procedure used to process the specimen. |
| Control | 0..1 |
| Terminology Binding | SpecimenProcessingProcedure ( Example ) |
| Type | CodeableConcept |
| Specimen.processing.additive | |
| Element Id | Specimen.processing.additive |
| Definition |
Material used in the processing step. |
| Control | 0..* |
| Type | Reference ( Substance ) |
| Specimen.processing.time[x] | |
| Element Id | Specimen.processing.time[x] |
| Definition |
A record of the time or period when the specimen processing occurred. For example the time of sample fixation or the period of time the sample was in formalin. |
| Control | 0..1 |
| Type | dateTime | Period |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Specimen.container | |
| Element Id | Specimen.container |
| Definition |
The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here. |
| Control | 0..* |
| Specimen.container.identifier | |
| Element Id | Specimen.container.identifier |
| Definition |
Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances. |
| Note | This is a business identifer, not a resource identifier (see discussion ) |
| Control | 0..* |
| Type | Identifier |
| Summary | true |
| Specimen.container.description | |
| Element Id | Specimen.container.description |
| Definition |
Textual description of the container. |
| Control | 0..1 |
| Type | string |
| Specimen.container.type | |
| Element Id | Specimen.container.type |
| Definition |
The type of container associated with the specimen (e.g. slide, aliquot, etc.). |
| Control | 0..1 |
| Terminology Binding | SpecimenContainer ( Example ) |
| Type | CodeableConcept |
| Specimen.container.capacity | |
| Element Id | Specimen.container.capacity |
| Definition |
The capacity (volume or other measure) the container may contain. |
| Control | 0..1 |
| Type | SimpleQuantity |
| Specimen.container.specimenQuantity | |
| Element Id | Specimen.container.specimenQuantity |
| Definition |
The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type. |
| Control | 0..1 |
| Type | SimpleQuantity |
| Specimen.container.additive[x] | |
| Element Id | Specimen.container.additive[x] |
| Definition |
Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA. |
| Control | 0..1 |
| Terminology Binding | v2 Additive/Preservative ( Example ) |
| Type | CodeableConcept | Reference ( Substance ) |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Specimen.note | |
| Element Id | Specimen.note |
| Definition |
To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen). |
| Control | 0..* |
| Type | Annotation |