This
page
is
part
of
the
FHIR
Specification
(v3.3.0:
(v3.5.0:
R4
Ballot
2).
#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 |
| Type | DomainResource |
| 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 handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems. |
| Specimen.subject | |
| Element Id | Specimen.subject |
| Definition |
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. |
| Control |
|
| 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
|
| Specimen.request | |
| Element Id | Specimen.request |
| Definition |
Details concerning a service request that required a specimen to be collected. |
| Control | 0..* |
| Type | Reference ( ServiceRequest ) |
| Comments |
The request may be explicit or implied such with a ServiceRequest that requires a blood draw. |
| 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.duration | |
| Element Id | Specimen.collection.duration |
| Definition | The span of time over which the collection of a specimen occurred. |
| Control | 0..1 |
| Type | Duration |
| 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.collection.fastingStatus[x] | |
| Element Id | Specimen.collection.fastingStatus[x] |
| Definition | Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection. |
| Control | 0..1 |
| Terminology Binding | v2 Relevant Clincial Information ( Extensible ) |
| Type | CodeableConcept | Duration |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Requirements | Many diagnostic tests require fasting to facilitate accurate interpretation. |
| Summary | true |
| Comments |
Representing
fasting
status
using
this
element
is
preferred
to
representing
it
with
an
observation
using
a
'precoordinated
code'
such
as
LOINC
2005-7
(Calcium
[Moles/time]
in
2
hour
Urine
--12
hours
fasting),
or
using
a
component
observation
|
| 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 |
|
| 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 |
|
| 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
|
| Type | CodeableConcept | Reference ( Substance ) |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Specimen.condition | |
| Element Id | Specimen.condition |
| Definition | A mode or state of being that describes the nature of the specimen. |
| Control | 0..* |
| Terminology Binding | v2 Specimen Condition ( Extensible ) |
| Type | CodeableConcept |
| Requirements | The specimen condition can be used to assess it's quality or it's appropriateness for a specific test. |
| Summary | true |
| Comments | Specimen condition is an observation made about the specimen. It's a point-in-time assessment. It can be used to assess it's quality or it's appropriateness for a specific test. |
| 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 |