R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

Example SpecimenDefinition/2364 (JSON)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw JSON (canonical form + also see JSON Format Specification)

Example definition of serum or plasma specimen.

{
  "resourceType" : "SpecimenDefinition",
  "id" : "2364",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: SpecimenDefinition</b><a name=\"2364\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource SpecimenDefinition &quot;2364&quot; </p></div><p><b>url</b>: <code>http://example.com/specdef/v1/12345</code></p><p><b>identifier</b>: id: 12345</p><p><b>title</b>: Example Specimen Definition for Testing</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>typeCollected</b>: Venous blood specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#122555007)</span></p><p><b>patientPreparation</b>: 12 hour fasting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, At rest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#263678003)</span></p><p><b>timeAspect</b>: preferrably morning time</p><blockquote><p><b>typeTested</b></p><p><b>isDerived</b>: false</p><p><b>type</b>: Serum specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>preference</b>: preferred</p><h3>Containers</h3><table class=\"grid\"><tr><td>-</td><td><b>Material</b></td><td><b>Type</b></td><td><b>Cap</b></td><td><b>MinimumVolume[x]</b></td></tr><tr><td>*</td><td>plastic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#61088005)</span></td><td>Evacuated blood collection tube, thrombin/clot activator/gel separator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#702281005)</span></td><td>yellow cap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#yellow)</span></td><td>2 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Ambient temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 15-25 °C</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>60</td><td>minute</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>min</td></tr></table></blockquote><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Refrigerated temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 2-8 °C</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>8</td><td>hour</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>h</td></tr></table></blockquote></blockquote><blockquote><p><b>typeTested</b></p><p><b>type</b>: Plasma specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119361006)</span></p><p><b>preference</b>: alternate</p><h3>Containers</h3><table class=\"grid\"><tr><td>-</td><td><b>Material</b></td><td><b>Type</b></td><td><b>Cap</b></td><td><b>MinimumVolume[x]</b></td></tr><tr><td>*</td><td>glass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32039001)</span></td><td>Evacuated blood collection tube, thrombin/clot activator/gel separator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#702281005)</span></td><td>green cap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#green)</span></td><td>2 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><p><b>rejectionCriterion</b>: insufficient specimen volume <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-rejection-criteria.html\">RejectionCriterion</a>#insufficient)</span>, hemolized specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-rejection-criteria.html\">RejectionCriterion</a>#hemolized)</span></p><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Ambient temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 15-25 °C</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>60</td><td>minute</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>min</td></tr></table></blockquote><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Refrigerated temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 2-8 °C</p><h3>MaxDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>8</td><td>hour</td><td><a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>h</td></tr></table></blockquote></blockquote></div>"
  },
  "url" : "http://example.com/specdef/v1/12345",
  "identifier" : {
    "value" : "12345"
  },
  "title" : "Example Specimen Definition for Testing",
  "status" : "active",
  "experimental" : false,
  "typeCollected" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "122555007",
      "display" : "Venous blood specimen"
    }]
  },
  "patientPreparation" : [{
    "text" : "12 hour fasting"
  },
  {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "263678003",
      "display" : "At rest"
    }]
  }],
  "timeAspect" : "preferrably morning time",
  "typeTested" : [{
    "isDerived" : false,
    "type" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "119364003",
        "display" : "Serum specimen"
      }]
    },
    "preference" : "preferred",
    "container" : {
      "material" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "61088005",
          "display" : "plastic"
        }]
      },
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "702281005",
          "display" : "Evacuated blood collection tube, thrombin/clot activator/gel separator"
        }]
      },
      "cap" : {
        "coding" : [{
          "system" : "urn:iso:std:iso:6710:2017",
          "code" : "yellow",
          "display" : "yellow cap"
        }]
      },
      "minimumVolumeQuantity" : {
        "value" : 2,
        "unit" : "ml",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      }
    },
    "handling" : [{
      "temperatureQualifier" : {
        "text" : "Ambient temperature"
      },
      "temperatureRange" : {
        "low" : {
          "value" : 15,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        },
        "high" : {
          "value" : 25,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        }
      },
      "maxDuration" : {
        "value" : 60,
        "unit" : "minute",
        "system" : "http://unitsofmeasure.org",
        "code" : "min"
      }
    },
    {
      "temperatureQualifier" : {
        "text" : "Refrigerated temperature"
      },
      "temperatureRange" : {
        "low" : {
          "value" : 2,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        },
        "high" : {
          "value" : 8,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        }
      },
      "maxDuration" : {
        "value" : 8,
        "unit" : "hour",
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }]
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "119361006",
        "display" : "Plasma specimen"
      }]
    },
    "preference" : "alternate",
    "container" : {
      "material" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "32039001",
          "display" : "glass"
        }]
      },
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "702281005",
          "display" : "Evacuated blood collection tube, thrombin/clot activator/gel separator"
        }]
      },
      "cap" : {
        "coding" : [{
          "system" : "urn:iso:std:iso:6710:2017",
          "code" : "green",
          "display" : "green cap"
        }]
      },
      "minimumVolumeQuantity" : {
        "value" : 2,
        "unit" : "ml",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL"
      }
    },
    "rejectionCriterion" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/rejection-criteria",
        "code" : "insufficient",
        "display" : "insufficient specimen volume"
      }]
    },
    {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/rejection-criteria",
        "code" : "hemolized",
        "display" : "hemolized specimen"
      }]
    }],
    "handling" : [{
      "temperatureQualifier" : {
        "text" : "Ambient temperature"
      },
      "temperatureRange" : {
        "low" : {
          "value" : 15,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        },
        "high" : {
          "value" : 25,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        }
      },
      "maxDuration" : {
        "value" : 60,
        "unit" : "minute",
        "system" : "http://unitsofmeasure.org",
        "code" : "min"
      }
    },
    {
      "temperatureQualifier" : {
        "text" : "Refrigerated temperature"
      },
      "temperatureRange" : {
        "low" : {
          "value" : 2,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        },
        "high" : {
          "value" : 8,
          "unit" : "°C",
          "system" : "http://unitsofmeasure.org",
          "code" : "Cel"
        }
      },
      "maxDuration" : {
        "value" : 8,
        "unit" : "hour",
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }]
  }]
}

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.