This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 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
This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.
USLab Specimen Profile Canonical Example: Blood (id = "spec-uslab-example1")
<Specimen xmlns="http://hl7.org/fhir"> <id value="spec-uslab-example1"/> <!-- a specimen identifier - e.g. assigned when the specimen was taken by the orderer/placer use the accession number for the filling lab --> <!-- Placer ID --> <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: spec-uslab-example1</p><p><b>identifier</b>: SID123 (OFFICIAL)</p><p><b>type</b>: Blood sample <span>(Details : {SNOMED CT code '122555007' = '122555007', given as 'Venous blood specimen'}; {http://ehr.goodhealthclinic.org code 'BLD' = '??', given as 'Blood'})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>accessionIdentifier</b>: 21041205000001 (OFFICIAL)</p><h3>Collections</h3><table><tr><td>-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td>05/12/2014</td><td>Drawn from Arm <span>(Details : {SNOMED CT code '53120007' = '53120007', given as 'Arm'}; {http://ehr.goodhealthclinic.or g code 'ARM' = '??', given as 'Arm'})</span></td></tr></table></div></text><identifier> <use value="official"/> <system value="http://ehr.goodhealthclinic.org/identifiers/specimen"/> <value value="SID123"/> </identifier> <!-- Filler ID moved to accsession number <identifier> <use value="official"></use> <label value="Filler Specimen ID"></label> <system value="http://lis.acmelabs.org/identifiers/specimen"/> <value value="SID456"/> </identifier> --> <!-- Type is a loosely defined field because there is such a lot of variation in how it is used. The principal variation is how much information that could be represented elsewhere is also represented here. For instance, here's some possible types: lithium heparin plasma (+ .container.additive) (e.g. SNOMED CT 446272009) transfusion bag of blood (+ container.type) Peritoneal lavage (+ collection.bodySite) If the type includes other fields, it would be normal not to populate the other fields Note that this practice is so widespread that it's pointless to try and stop it :( --> <!-- choice of SNOMED CT concept code... --> <type> <coding> <system value="http://snomed.info/sct"/> <!-- EH: Note to balloters - lots of choices for whole blood I chose this. --> <code value="122555007"/> <display value="Venous blood specimen"/> </coding> <!-- and or local code --> <coding> <system value="http://ehr.goodhealthclinic.org"/> <code value="BLD"/> <display value="Blood"/> </coding> <text value="Blood sample"/> </type> <!-- Patient is required from core --> <subject> <reference value="Patient/patient-uslab-example1"/> <display value="Todd Lerr"/> </subject> <!-- accession identifier - e.g. assigned by the labaratory when it is received. This is common, unlike specimen identifier --> <accessionIdentifier> <use value="official"/> <system value="http://lis.acmelabs.org/identifiers/accession"/> <value value="21041205000001"/> </accessionIdentifier> <collection> <!-- the time of collection is required. Usually a point in time, but can be a period (collectedPeriod) if it's a timed collection (e.g. a 24 hour urine) --> <collectedDateTime value="2014-12-05"/> <bodySite> <!-- choice of SNOMED CT concept code... --> <coding> <system value="http://snomed.info/sct"/> <!-- EH: Note to balloters - this is to demonstrate use of source for body site not really needed for blood draw. --> <code value="53120007"/> <display value="Arm"/> </coding> <!-- and or local code --> <coding> <system value="http://ehr.goodhealthclinic.org"/> <code value="ARM"/> <display value="Arm"/> </coding> <text value="Drawn from Arm"/> </bodySite> </collection> </Specimen>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.