This page is part of the FHIR Specification (v0.0.82: DSTU 1). 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 Content Examples Formal Definitions Mappings Profiles 4.19 Resource Specimen - Content Sample for analysis. 4.19.1 Scope and Usage Any material sample: taken from a biological entity, living or dead taken from a physical object or the environment Biospecimen can contain one or more components including but not limited to cellular molecules, cells, tissues, organs, body fluids, embryos, and body excretory products (source: NCIt, modified). The specimen resource covers substances used for diagnostic and environmental testing. The focus of the specimen resource is the process for gathering, maintaining and processing the specimen as well as where the specimen originated. This is distinct from the use of Substance which is only used when these other aspects are not relevant. 4.19.2 Background and Context The current definition of the specimen resource contains only basic information about specimen containers. It does not address the recursive nature of containers or the tracking of the location of a container within its parent container (for instance: a tube in a tray in a rack in a freezer). The frequency with which these elements are tracked may depend on the context of use; general lab; biobanking, etc. Comments from reviewers on the appropriate scope for this resource, and the need for tracking related specimen management attributes, are welcomed. 4.19.3 Resource Content Specimen ( Resource ) Id for specimen identifier : Identifier 0..* Kind of material that forms the specimen type : CodeableConcept 0..1 << The type of the specimen. SpecimenType >> Where the specimen came from. This may be the patient(s) or from the environment or a device subject : Resource ( Patient | Group | Device | Substance ) 1..1 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 accessionIdentifier : Identifier 0..1 Time when specimen was received for processing or testing receivedTime : dateTime 0..1 Source Whether this relationship is to a parent or to a child relationship : code 1..1 << Type indicating if this is a parent or child relationship HierarchicalRelationshipType >> The specimen resource that is the target of this relationship target : Resource ( Specimen ) 0..* Collection Person who collected the specimen collector : Resource ( Practitioner ) 0..1 To communicate any details or issues encountered during the specimen collection procedure comment : string 0..* Time when specimen was collected from subject - the physiologically relevant time collected[x] : dateTime | Period 0..1 The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample quantity : Quantity 0..1 A coded value specifying the technique that is used to perform the procedure method : CodeableConcept 0..1 << The technique that is used to perform the procedure SpecimenCollectionMethod >> Anatomical location from which the specimen should be collected (if subject is a patient). This element is not used for environmental specimens sourceSite : CodeableConcept 0..1 << Codes describing anatomical locations. May include laterality BodySite >> Treatment Textual description of procedure description : string 0..1 A coded value specifying the procedure used to process the specimen procedure : CodeableConcept 0..1 << Type indicating the technique used to process the specimen SpecimenTreatmentProcedure >> Material used in the processing step additive : Resource ( Substance ) 0..* Container 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 identifier : Identifier 0..* Textual description of the container description : string 0..1 The type of container associated with the specimen (e.g. slide, aliquot, etc) type : CodeableConcept 0..1 << Type of specimen container SpecimenContainerType >> The capacity (volume or other measure) the container may contain capacity : Quantity 0..1 The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type specimenQuantity : Quantity 0..1 Additive associated with the container additive : Resource ( Substance ) 0..1 Parent specimen from which the focal specimen was a component source 0..* Details concerning the specimen collection collection 1..1 Details concerning treatment and processing steps for the specimen treatment 0..* The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here container 0..* This resource is referenced by DiagnosticOrder , DiagnosticReport , Media and Observation < <!-- from --> <</identifier> <</type> < < <</target> </source> < Where the specimen came from. This may be the patient(s) or from the environment or a device</subject> <</accessionIdentifier> < < <</collector> < <</collected[x]> <</quantity> <</method> <</sourceSite> </collection> < < <</procedure> <</additive> </treatment> < <</identifier> < <</type> <</capacity> <</specimenQuantity> <</additive> </container> </Specimen> Alternate definitions: Schema / Schematron , Resource Profile 4.19.3.1 Terminology Bindings Path Definition Type Reference Specimen.type The type of the specimen. Example http://hl7.org/fhir/v2/vs/0487 Specimen.source.relationship Type indicating if this is a parent or child relationship Fixed http://hl7.org/fhir/hierarchical-relationship-type Specimen.collection.method The technique that is used to perform the procedure Example http://hl7.org/fhir/vs/specimen-collection-method Specimen.collection.sourceSite Codes describing anatomical locations. May include laterality Example http://hl7.org/fhir/vs/body-site Specimen.treatment.procedure Type indicating the technique used to process the specimen Example http://hl7.org/fhir/vs/specimen-treatment-procedure Specimen.container.type Type of specimen container Example http://hl7.org/fhir/vs/specimen-container-type 4.19.4 Search Parameters Search parameters for this resource. The standard parameters also apply. See Searching for more information about searching in REST, messaging, and services. Name Type Description Paths _id token The logical resource id associated with the resource (must be supported by all servers) _language token The language of the resource subject reference The subject of the specimen Specimen.subject ( Device , Patient , Substance , Group ) © HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:10+1000. 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