Specimen-example.xml

General Specimen Example (id = "101")

<Specimen xmlns="http://hl7.org/fhir">
  <id value="101"/>
  <!--   text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">[Put rendering here]</div>
  </text>   -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 101</p><p><b>contained</b>: </p><p><b>identifier</b>: 23234352356</p><p><b>status</b>: available</p><p><b>type</b>: Venous blood specimen <span>(Details : {SNOMED CT code '122555007' = '122555007', given as 'Venous blood specimen'})</span></p><p><b>subject</b>: <a>Peter Patient</a></p><p><b>accessionIdentifier</b>: X352356</p><p><b>receivedTime</b>: 04/03/2011 6:03:00 PM</p><h3>Collections</h3><table><tr><td>-</td><td><b>Collector</b></td><td><b>Comment</b></td><td><b>Collected[x]</b></td><td><b>Quantity</b></td><td><b>Method</b></td></tr><tr><td>*</td><td><a>Practitioner/example</a></td><td>Specimen is grossly lipemic</td><td>30/05/2011 4:15:00 PM</td><td>6 mL</td><td>Line, Venous <span>(Details : {http://hl7.org/fhir/v2/0488 code 'LNV' = 'Line, Venous)</span></td></tr></table><h3>Containers</h3><table><tr><td>-</td><td><b>Identifier</b></td><td><b>Description</b></td><td><b>Type</b></td><td><b>Capacity</b></td><td><b>SpecimenQuantity</b></td><td><b>Additive[x]</b></td></tr><tr><td>*</td><td>48736-15394-75465</td><td>Green Gel tube</td><td>Vacutainer <span>(Details )</span></td><td>10 mL</td><td>6 mL</td><td>id: hep; Lithium/Li Heparin <span>(Details : {http://hl7.org/fhir/v3/EntityCode code 'HEPL' = 'Lithium/Li Heparin)</span></td></tr></table></div></text><contained>
    <Substance>
      <id value="hep"/>
      <code>
        <coding>
          <system value="http://hl7.org/fhir/v3/EntityCode"/>
          <code value="HEPL"/>
        </coding>
      </code>
    </Substance>
  </contained>
  <!--    a specimen identifier - e.g. assigned when the specimen was taken
     this is often not done    -->
  <identifier>
    <system value="http://ehr.acme.org/identifiers/collections"/>
    <value value="23234352356"/>
  </identifier>
  <!--   status is really about the specimen availability and includes the concepts available
   - The physical specimen is present and in good condition entered-in-error - The specimen
   was entered in error and therefore nullified. unavailable - There is no physical specimen
   because it is either lost, destroyed or consumed. unsatisfactory - The specimen cannot
   be used because of either a quality issue such as a broken container, contamination, or
   too old.   -->
  <status value="available"/>
  <!--   
   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    -->
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="122555007"/>
      <display value="Venous blood specimen"/>
    </coding>
  </type>
  <subject>
    <reference value="Patient/example"/>
    <display value="Peter Patient"/>
  </subject>
  <!--    accession identifier - e.g. assigned by the labaratory when it is received.
     This is common, unlike specimen identifier    -->
  <accessionIdentifier>
    <system value="http://lab.acme.org/specimens/2011"/>
    <value value="X352356"/>
  </accessionIdentifier>
  <receivedTime value="2011-03-04T07:03:00Z"/>
  <collection>
    <collector>
      <!--    in practice, collecter is almost always recorded    -->
      <reference value="Practitioner/example"/>
    </collector>
    <comment value="Specimen is grossly lipemic"/>
    <!--    the time of collection is usually 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="2011-05-30T06:15:00Z"/>
    <quantity>
      <value value="6"/>
      <unit value="mL"/>
      <!--    e.g. full    -->
    </quantity>
    <!--    method is usually implied by type    -->
    <method>
      <coding>
        <system value="http://hl7.org/fhir/v2/0488"/>
        <code value="LNV"/>
      </coding>
    </method>
  </collection>
  <container>
    <!--    
      the container identifier is not the same as the specimen identifier
      usually, it is pre-printed/implanted etc.on the container prior to 
      use. It might a RFID in the container, or it might be a UDI 
      (http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/UniqueDeviceIdentification/)
     
       -->
    <identifier>
      <!--    this is a serial number off the tube - there's no context such as a system    -->
      <value value="48736-15394-75465"/>
    </identifier>
    <description value="Green Gel tube"/>
    <type>
      <!--    again, this might easily be used to cover additives and capacity as well    -->
      <text value="Vacutainer"/>
    </type>
    <capacity>
      <value value="10"/>
      <unit value="mL"/>
    </capacity>
    <!--    if there's only one container, then this value is the same 
     as .collection.quantity (usually). This is for when there is more
     than one container    -->
    <specimenQuantity>
      <value value="6"/>
      <unit value="mL"/>
    </specimenQuantity>
    <additiveReference>
      <reference value="#hep"/>
    </additiveReference>
  </container>
</Specimen>