This page is part of the FHIR Specification (v1.0.0: DSTU 2 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
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.