DSTU2

This page is part of the FHIR Specification (v0.0.82: (v1.0.2: DSTU 1). 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

4.19.6 4.25.6 Resource Specimen - Formal Definitions Detailed Descriptions

Formal definitions Detailed Descriptions for the elements in the Specimen resource.

Specimen
Definition Sample

A sample to be used for analysis.

Control 1..1
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.type Specimen.status
Definition Kind

The availability of material that forms the specimen.

Control 0..1
Binding SpecimenType: SpecimenStatus: Codes providing the status/availability of a specimen. ( See http://hl7.org/fhir/v2/vs/0487 Required )
Type CodeableConcept code
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.source Is Modifier Definition Parent specimen from which the focal specimen was a component. true
Control Summary 0..* To Do Source isn't a great name if it can also be a child. Why not two separate associations?. true
Specimen.source.relationship Specimen.type
Definition Whether this relationship is to a parent or to a child.

The kind of material that forms the specimen.

Control 1..1 0..1
Binding HierarchicalRelationshipType: Type indicating if this is a parent or child relationship (see http://hl7.org/fhir/hierarchical-relationship-type v2 Specimen Type: The type of the specimen. for values) ( Example )
Type code 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.source.target Specimen.parent
Definition The

Reference to the parent (source) specimen resource that which is used when the target specimen was either derived from or a component of this relationship. another specimen.

Control 0..*
Type Resource 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.subject
Definition

Where the specimen came from. This may be from the patient(s) or from the environment or a device.

Control 1..1
Type Resource Reference ( Patient | Group | Device | Substance )
Requirements

Must know the subject context.

Summary true
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.receivedTime
Definition

Time when specimen was received for processing or testing.

Control 0..1
Type dateTime
Summary true
Specimen.collection
Definition

Details concerning the specimen collection.

Control 1..1 0..1
Specimen.collection.collector
Definition

Person who collected the specimen.

Control 0..1
Type Resource Reference ( Practitioner )
Summary true
Specimen.collection.comment
Definition

To communicate any details or issues encountered during the specimen collection procedure.

Control 0..*
Type string
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
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 Quantity SimpleQuantity
Specimen.collection.method
Definition

A coded value specifying the technique that is used to perform the procedure.

Control 0..1
Binding SpecimenCollectionMethod: ( See http://hl7.org/fhir/vs/specimen-collection-method The technique that is used to perform the procedure ( Example )
Type CodeableConcept
Specimen.collection.sourceSite Specimen.collection.bodySite
Definition

Anatomical location from which the specimen should be was collected (if subject is a patient). This is the target site. This element is not used for environmental specimens.

Control 0..1
Binding BodySite: SNOMED CT Body site concepts ( Structures: See http://hl7.org/fhir/vs/body-site Codes describing anatomical locations. May include laterality. ( Example )
Type CodeableConcept
To Do Comments Is this approach or target site?.

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 body-site-instance .

Specimen.treatment
Definition

Details concerning treatment and processing steps for the specimen.

Control 0..*
Specimen.treatment.description
Definition

Textual description of procedure.

Control 0..1
Type string
Specimen.treatment.procedure
Definition

A coded value specifying the procedure used to process the specimen.

Control 0..1
Binding SpecimenTreatmentProcedure: ( See http://hl7.org/fhir/vs/specimen-treatment-procedure Type indicating the technique used to process the specimen ( Example )
Type CodeableConcept
Specimen.treatment.additive
Definition

Material used in the processing step.

Control 0..*
Type Resource Reference ( Substance )
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
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
Definition

Textual description of the container.

Control 0..1
Type string
Specimen.container.type
Definition

The type of container associated with the specimen (e.g. slide, aliquot, etc). etc.).

Control 0..1
Binding SpecimenContainerType: ( SpecimenContainer: See http://hl7.org/fhir/vs/specimen-container-type Type of specimen container ( Example )
Type CodeableConcept
Specimen.container.capacity
Definition

The capacity (volume or other measure) the container may contain.

Control 0..1
Type Quantity SimpleQuantity
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 Quantity SimpleQuantity
Specimen.container.additive Specimen.container.additive[x]
Definition Additive associated with

Introduced substance to preserve, maintain or enhance the container. specimen. Examples: Formalin, Citrate, EDTA.

Control 0..1
Binding v2 Additive/Preservative: Substance added to specimen container ( Example )
Type Resource CodeableConcept | Reference ( Substance )
[x] Note See Choice of Data Types for further information about how to use [x]
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